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Mississippi 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
$423.43 / $936.00 / $1,831.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.51 / $410.06 / $1,110.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$533.41 / $533.41 / $533.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.00 / $519.00 / $519.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.66 / $494.44 / $1,168.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.48 / $480.37 / $967.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.00 / $858.00 / $1,957.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.43 / $622.48 / $1,305.68