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Rhode Island rates for HCPCS 64517

Injection Anes Superior Hypogastric Plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,090.73 / $2,778.87 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.19 / $186.09 / $302.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.33 / $204.75 / $342.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.72 / $255.88 / $381.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,388.00 / $2,445.00 / $4,602.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.74 / $260.87 / $424.19