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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
$324.27 / $4,778.89 / $13,841.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,973.60 / $6,541.64 / $12,653.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.91 / $716.91 / $716.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.47 / $354.51 / $1,108.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.63 / $732.17 / $992.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,775.00 / $3,227.00 / $6,169.00