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Arkansas 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
$301.08 / $1,074.00 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.07 / $390.88 / $614.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$866.69 / $866.69 / $1,040.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.37 / $363.78 / $665.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,336.44 / $1,336.44 / $1,336.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.86 / $485.62 / $981.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.00 / $765.00 / $1,574.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.63 / $581.76 / $1,092.23