go back

Alaska rates for HCPCS 64681

Destruction by neurolytic agent, with or without radiologic monitoring; superior hypogastric plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $7,079.46 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $436.52 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $954.99 / $1,995.26
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $645.65 / $2,089.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $1,096.48 / $2,187.76
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,318.26 / $2,511.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $616.60 / $1,548.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $549.54 / $1,122.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $1,348.96 / $3,162.28