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Idaho rates for HCPCS 64680

Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.29 / $4,500.00 / $7,205.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$573.77 / $573.77 / $575.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.55 / $396.15 / $905.42
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.11 / $2,326.44 / $3,453.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $2,620.00 / $4,441.00