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Michigan 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
$204.59 / $2,877.00 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,243.98 / $1,460.06 / $1,978.15
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.75 / $2,877.00 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.00 / $3,005.00 / $4,504.00