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Maryland 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
$714.00 / $714.00 / $714.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.00 / $451.23 / $453.73
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.38 / $448.66 / $619.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.00 / $123.00 / $158.00