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Minnesota 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
$218.36 / $469.13 / $2,525.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.16 / $399.45 / $658.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,179.53 / $1,858.24 / $3,635.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.58 / $780.54 / $1,551.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,140.68 / $1,618.46 / $3,893.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.20 / $931.84 / $1,910.81
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$927.77 / $1,479.66 / $3,065.69
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.51 / $869.40 / $1,573.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.92 / $572.77 / $1,249.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.76 / $1,055.18 / $3,163.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,187.00 / $2,872.00 / $4,241.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.80 / $959.90 / $2,180.64