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Arizona 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
$1,582.00 / $2,912.00 / $6,483.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.36 / $363.14 / $1,344.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.35 / $2,211.19 / $3,616.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.28 / $224.65 / $358.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.77 / $407.73 / $826.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $433.70 / $1,438.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.01 / $578.49 / $3,364.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,086.00 / $2,017.00 / $3,268.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.84 / $502.78 / $971.54