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Missouri rates for HCPCS 64681

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

Facilitymedian $2,089 · 10th–90th $437–$5,6230%5%10th90th$2,089Professionalmedian $389 · 10th–90th $204–$9120%10%10th90th$389$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$467.74 / $3,162.28 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $398.11 / $912.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $1,819.70 / $4,168.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $288.40 / $457.09
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $426.58 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $426.58 / $831.76
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $537.03 / $2,089.30
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $870.96 / $3,388.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $1,047.13 / $2,041.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $467.74 / $870.96