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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
$254.50 / $565.59 / $2,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.93 / $363.14 / $565.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.26 / $620.40 / $1,123.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.76 / $690.21 / $1,446.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.50 / $565.59 / $786.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.98 / $971.27 / $3,163.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.98 / $931.05 / $1,279.86