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Indiana 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
$152.08 / $731.00 / $7,212.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.00 / $4,353.00 / $8,052.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.56 / $191.83 / $421.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.52 / $640.52 / $759.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,638.00 / $3,267.00 / $4,271.00