go back

Oklahoma 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
$916.00 / $3,683.00 / $8,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.21 / $356.07 / $420.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.35 / $298.45 / $619.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$770.49 / $770.49 / $770.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.64 / $356.72 / $716.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.22 / $441.18 / $2,038.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.66 / $581.76 / $3,364.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,279.00 / $2,637.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.50 / $522.83 / $756.29