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Nebraska 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
$429.19 / $4,778.89 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.74 / $429.19 / $1,344.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,973.60 / $6,541.64 / $12,653.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.43 / $439.49 / $857.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.91 / $716.91 / $716.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.82 / $844.83 / $1,314.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.88 / $565.46 / $1,319.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.66 / $924.39 / $3,163.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$544.50 / $844.83 / $1,479.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.31 / $713.63 / $1,290.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,775.00 / $3,227.00 / $6,169.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.08 / $1,016.71 / $1,375.43