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Alaska rates for HCPCS 64415

Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.07 / $5,076.00 / $11,910.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.64 / $129.27 / $632.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.89 / $278.82 / $583.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.08 / $355.23 / $884.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.20 / $364.00 / $778.05
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.10 / $380.64 / $674.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.08 / $390.75 / $884.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.55 / $358.80 / $664.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.44 / $293.44 / $667.58