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Idaho rates for HCPCS 64415

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

Facilitymedian $575 · 10th–90th $120$4,4670%5%10%10th90th$575Professionalmedian $141 · 10th–90th $68$3720%5%10%10th90th$141$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $1,412.54 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $134.90 / $478.63
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $933.25 / $2,398.83
BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$436.52 / $1,479.11 / $3,548.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $204.17 / $263.03
BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$194.98 / $323.59 / $398.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $575.44 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $117.49 / $199.53
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $165.96 / $346.74
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $173.78 / $323.59
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $2,041.74 / $2,951.21
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,398.83 / $3,388.44 / $4,466.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $169.82 / $275.42
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $144.54 / $676.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $2,630.27 / $4,466.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $128.82 / $218.78