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Delaware 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
$3,949.00 / $3,949.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.62 / $399.45 / $468.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.37 / $524.37 / $524.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.38 / $397.84 / $664.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.00 / $440.00 / $440.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.23 / $521.44 / $1,280.50