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Washington, DC rates for HCPCS 64681

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

Facilitymedian $4,074 · 10th–90th $490$5,1290%20%10th90th$4,074Professionalmedian $417 · 10th–90th $214$7760%10%10th90th$417$200.0$500.0$1.0K$2.0K$5.0K

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
$223.87 / $4,073.80 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $416.87 / $676.08
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $1,230.27 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $426.58 / $1,096.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $524.81 / $1,202.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $1,737.80 / $5,128.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $457.09 / $1,148.15