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Kentucky 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
$71.63 / $935.00 / $4,019.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.58 / $105.56 / $158.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,041.00 / $2,067.00 / $2,978.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.92 / $60.49 / $141.59
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$74.88 / $90.73 / $212.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.12 / $87.91 / $107.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.24 / $143.16 / $183.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.69 / $119.82 / $119.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.36 / $133.47 / $243.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $40.34 / $131.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.00 / $1,073.00 / $3,394.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.03 / $157.34 / $225.64