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Colorado 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
$448.30 / $4,071.22 / $9,888.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.62 / $366.11 / $621.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,974.00 / $2,971.00 / $7,022.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.05 / $313.27 / $498.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$684.56 / $684.56 / $2,156.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.22 / $426.13 / $876.81
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.69 / $448.30 / $697.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.60 / $475.47 / $812.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,361.00 / $2,537.00 / $3,681.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.58 / $671.40 / $1,370.19