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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
$831.76 / $3,801.89 / $8,317.64
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $4,466.84 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $2,398.83 / $3,630.78
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $2,691.53 / $8,317.64
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $758.58
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $331.13 / $416.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $1,778.28 / $3,890.45