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Pennsylvania 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
$540.00 / $2,747.00 / $8,017.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,736.00 / $4,444.00 / $15,949.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.27 / $273.27 / $273.27
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,795.51 / $2,425.73 / $4,973.16
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.00 / $3,077.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.27 / $273.27 / $273.27
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.27 / $228.35 / $351.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.00 / $1,219.00 / $3,742.00