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Wisconsin 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
$151.36 / $741.31 / $2,398.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $3,090.30 / $5,754.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,071.52 / $1,737.80
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $354.81 / $3,548.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $371.54 / $3,311.31
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $549.54 / $1,148.15
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,819.70 / $2,691.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $2,818.38 / $4,677.35