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Nebraska 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
$323.59 / $4,265.80 / $8,511.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $6,456.54 / $12,589.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $724.44 / $724.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $426.58 / $1,122.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $630.96 / $933.25
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $724.44 / $724.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,819.70 / $6,309.57