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Ohio 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
$371.54 / $3,019.95 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $398.11 / $870.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $2,238.72 / $3,981.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $257.04 / $426.58
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $213.80 / $251.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $446.68 / $21,379.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $407.38 / $758.58
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,379.62 / $21,379.62 / $21,379.62
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $398.11 / $758.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $107.15
SummaCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $1,096.48
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $457.09 / $707.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,862.09 / $4,073.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $398.11 / $776.25