go back

Virginia rates for HCPCS 64517

Injection Anes Superior Hypogastric Plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.61 / $3,309.00 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.73 / $167.05 / $251.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,735.00 / $2,390.00 / $2,954.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.04 / $147.77 / $244.30
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $139.30 / $2,012.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.88 / $214.88 / $572.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.55 / $201.78 / $345.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.41 / $236.04 / $278.02
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.41 / $212.94 / $327.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.00 / $259.00 / $354.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.88 / $166.52 / $895.95
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.41 / $248.24 / $914.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$921.00 / $1,890.00 / $3,765.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.22 / $242.62 / $367.67