go back

Vermont rates for HCPCS 64517

Injection, anesthetic agent; superior hypogastric plexus

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $186.21 / $489.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $1,584.89 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $199.53 / $281.84
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $263.03 / $323.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $234.42 / $446.68