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Florida 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
$291.77 / $3,000.00 / $10,632.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.63 / $300.52 / $565.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.00 / $476.39 / $567.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.36 / $407.89 / $829.17
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,104.00 / $3,151.00 / $7,541.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.24 / $340.54 / $508.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.29 / $367.54 / $583.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.00 / $2,671.00 / $6,077.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.56 / $501.49 / $945.90
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.79 / $271.41 / $271.41