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North Carolina rates for HCPCS 64517

Injection Anes Superior Hypogastric Plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.55 / $279.14 / $7,278.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.55 / $189.71 / $324.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.08 / $575.08 / $583.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.13 / $293.97 / $732.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.04 / $530.04 / $820.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.05 / $232.57 / $418.82
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.55 / $214.06 / $327.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.06 / $230.00 / $600.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.30 / $224.82 / $322.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$554.00 / $2,417.00 / $4,102.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.77 / $240.01 / $446.71
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$869.40 / $869.40 / $16,394.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,314.00 / $2,563.92 / $2,563.92