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New Jersey 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
$219.12 / $4,516.00 / $9,784.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.49 / $343.75 / $488.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.66 / $484.28 / $1,342.24
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.18 / $701.41 / $722.58
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,746.73 / $1,804.40 / $4,127.87
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.45 / $540.53 / $987.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,354.00 / $3,961.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.04 / $677.23 / $1,307.22