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Virginia rates for HCPCS 64680

Dstrj Neurolytic W/Wo Rad Monitor Celiac Plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.41 / $2,848.00 / $7,275.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,735.00 / $2,390.00 / $2,954.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.27 / $273.27 / $572.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.75 / $413.61 / $488.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.57 / $323.95 / $580.38
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.16 / $215.99 / $1,171.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$921.00 / $1,890.00 / $3,765.00