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North Carolina 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
$219.73 / $773.80 / $7,278.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.73 / $407.57 / $712.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.26 / $532.16 / $1,057.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.04 / $530.04 / $820.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.47 / $526.26 / $1,008.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.73 / $464.16 / $839.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.16 / $645.00 / $645.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.11 / $598.00 / $732.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$554.00 / $2,417.00 / $4,102.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.05 / $610.85 / $1,171.56
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,518.96 / $1,518.96 / $16,394.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,163.00 / $3,262.64 / $3,783.83