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Tennessee rates for HCPCS 64517

Injection Anes Superior Hypogastric Plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.55 / $2,303.00 / $6,681.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.28 / $174.26 / $280.79
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.95 / $308.95 / $308.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.00 / $1,480.00 / $2,244.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.26 / $204.31 / $328.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.77 / $206.78 / $340.49
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$869.40 / $885.84 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,314.00 / $2,563.92 / $2,563.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.00 / $1,560.00 / $2,914.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.80 / $223.13 / $390.91