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Missouri rates for HCPCS 64517

Injection, anesthetic agent; superior hypogastric plexus

Facilitymedian $1,950 · 10th–90th $234–$5,6230%5%10th90th$1,950Professionalmedian $186 · 10th–90th $117–$4900%10%10th90th$186$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $3,090.30 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $186.21 / $549.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $1,819.70 / $4,168.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $147.91 / $223.87
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $204.17 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $208.93 / $354.81
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $234.42 / $2,187.76
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $316.23 / $2,570.40
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $1,047.13 / $2,089.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $194.98 / $331.13