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Missouri 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
$107.03 / $1,172.00 / $5,389.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.64 / $112.04 / $257.49
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.51 / $99.51 / $99.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.47 / $89.94 / $126.45
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$100.58 / $134.91 / $189.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.64 / $135.08 / $229.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.20 / $141.83 / $1,770.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.69 / $213.69 / $1,433.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.00 / $1,632.00 / $2,675.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.72 / $172.19 / $260.57