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North Dakota 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
$64.00 / $1,295.36 / $2,936.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.64 / $106.26 / $136.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.76 / $177.00 / $333.23
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$205.14 / $291.08 / $499.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.09 / $221.28 / $417.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $116.46 / $548.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.83 / $220.07 / $1,227.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.03 / $210.10 / $298.26