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Alabama rates for HCPCS 64415

Injection Aa&/Strd Brachial Plexus W/Img Gdn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.03 / $885.00 / $4,045.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.14 / $99.91 / $171.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.13 / $1,874.14 / $2,521.32
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,322.19 / $2,811.20 / $3,781.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.00 / $94.87 / $158.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.04 / $119.71 / $237.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,213.00 / $2,488.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.16 / $107.99 / $210.58