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Kansas 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
$1,700.00 / $4,387.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.74 / $381.75 / $752.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.73 / $299.68 / $628.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.00 / $442.00 / $442.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.22 / $462.10 / $746.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.71 / $546.07 / $1,541.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.04 / $677.08 / $3,364.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.00 / $1,353.00 / $2,746.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.35 / $639.94 / $914.05