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Wyoming rates for HCPCS 64681

Destruction by neurolytic agent, with or without radiologic monitoring; superior hypogastric plexus

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.97 / $282.77 / $643.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$974.00 / $974.00 / $974.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.00 / $705.00 / $1,464.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.22 / $572.49 / $1,209.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$788.00 / $788.00 / $3,328.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.44 / $967.19 / $1,745.28