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Kansas 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
$199.51 / $1,700.00 / $7,655.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.64 / $115.62 / $222.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.38 / $70.38 / $70.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.25 / $294.57 / $651.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.36 / $113.36 / $221.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.00 / $330.00 / $330.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.44 / $129.43 / $251.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.65 / $175.59 / $1,541.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.02 / $180.13 / $1,433.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.00 / $1,353.00 / $2,793.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.22 / $140.32 / $212.08