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North Dakota 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
$218.78 / $467.74 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $363.08 / $645.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $616.60 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $588.84 / $1,258.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $562.34 / $1,000.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $933.25 / $3,162.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $2,398.83 / $3,388.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $549.54 / $1,096.48