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Ohio rates for HCPCS 64517

Injection, anesthetic agent; superior hypogastric plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $2,884.03 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $186.21 / $478.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $2,238.72 / $3,981.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $138.04 / $208.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $120.23 / $144.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,379.62 / $21,379.62 / $21,379.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $204.17 / $323.59
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,379.62 / $21,379.62 / $21,379.62
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $204.17 / $338.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $60.26
SummaCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $1,096.48
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $199.53 / $323.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,862.09 / $4,073.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $173.78 / $288.40