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Georgia 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
$602.56 / $4,365.16 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $407.38 / $794.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,862.09 / $3,548.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $380.19 / $645.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $660.69 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $457.09 / $1,023.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $602.56 / $1,778.28
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $645.65 / $812.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $2,187.76 / $3,467.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $467.74 / $977.24