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Arizona rates for HCPCS 64681

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

Facilitymedian $2,692 · 10th–90th $550–$6,6070%5%10%10th90th$2,692Professionalmedian $407 · 10th–90th $200–$1,1480%5%10%10th90th$407$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,737.80 / $3,090.30 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $407.38 / $1,148.15
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $2,454.71 / $4,570.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $316.23 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $416.87 / $794.33
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $446.68 / $1,621.81
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $616.60 / $3,388.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $1,258.93 / $3,235.94
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $363.08 / $707.95