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Massachusetts rates for HCPCS 64415

Injection Aa&/Strd Brachial Plexus W/Img Gdn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.50 / $1,199.50 / $3,103.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.05 / $110.26 / $194.22
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.72 / $1,483.60 / $7,161.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.63 / $201.54 / $1,504.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.69 / $101.12 / $200.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.39 / $201.07 / $408.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.68 / $157.16 / $297.08
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.58 / $234.93 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.41 / $185.83 / $256.41
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.46 / $189.15 / $392.72
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.11 / $542.15 / $859.40
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.94 / $190.61 / $245.57
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.49 / $2,078.00 / $12,000.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.44 / $270.30 / $1,504.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.00 / $2,408.00 / $5,683.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.15 / $217.79 / $385.73