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Missouri 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
$468.58 / $3,213.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.94 / $381.75 / $598.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.69 / $280.17 / $443.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.22 / $457.72 / $838.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.79 / $473.44 / $1,778.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.50 / $874.12 / $3,364.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.00 / $1,632.00 / $2,664.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.27 / $682.27 / $1,086.78