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California 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
$363.19 / $3,989.00 / $16,008.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,767.00 / $2,767.00 / $2,767.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.64 / $117.51 / $353.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,882.00 / $4,505.00 / $8,976.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.41 / $90.38 / $220.28
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$105.93 / $126.36 / $174.34
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $4,979.42
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.15 / $129.75 / $235.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$938.60 / $940.26 / $1,681.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.11 / $127.61 / $252.02
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.23 / $94.15 / $220.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.30 / $136.38 / $249.95
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.87 / $336.49 / $12,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,227.00 / $1,433.08 / $1,504.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.01 / $128.88 / $219.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.86 / $136.19 / $276.77
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.11 / $207.11 / $374.20
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.43 / $118.41 / $181.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,198.00 / $2,699.00 / $7,399.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.50 / $128.80 / $259.02