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Arizona 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
$134.58 / $1,965.00 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.64 / $109.00 / $223.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.94 / $766.73 / $1,261.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.90 / $70.30 / $105.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.83 / $119.44 / $209.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.09 / $128.06 / $1,438.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.26 / $146.99 / $1,433.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,086.00 / $1,958.00 / $3,268.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.86 / $125.58 / $232.42