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Maine rates for HCPCS 64681

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

Professionalmedian $437 · 10th–90th $214$8710%5%10%10th90th$437$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
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $436.52 / $812.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $338.84 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $478.63 / $1,000.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $575.44 / $912.01
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $380.19 / $676.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $446.68 / $912.01