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Michigan rates for HCPCS 64681

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

Facilitymedian $2,884 · 10th–90th $575–$4,8980%20%10th90th$2,884Professionalmedian $389 · 10th–90th $209–$6920%10%10th90th$389$50.0$200.0$1.0K$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
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $2,884.03 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $398.11 / $707.95
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $331.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $331.13 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $371.54 / $758.58
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $2,884.03 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $457.09 / $870.96
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $389.05 / $758.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $1,621.81 / $3,801.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $380.19 / $691.83