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Minnesota rates for HCPCS 64415

Injection Aa&/Strd Brachial Plexus W/Img Gdn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.67 / $982.50 / $2,936.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.43 / $103.59 / $194.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,184.58 / $2,481.89 / $3,985.33
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,078.36 / $3,153.33 / $5,529.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.72 / $241.66 / $471.59
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$192.95 / $360.89 / $686.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.89 / $476.58 / $1,146.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.19 / $284.85 / $543.71
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.20 / $435.71 / $902.74
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.50 / $259.06 / $468.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.82 / $207.04 / $1,671.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.83 / $236.85 / $1,227.00
Medica
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$350.68 / $350.68 / $355.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,187.00 / $2,872.00 / $4,241.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.03 / $234.60 / $459.88