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Nebraska rates for HCPCS 64415

Injection Aa&/Strd Brachial Plexus W/Img Gdn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.49 / $2,912.34 / $12,405.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.32 / $117.51 / $269.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,973.60 / $6,541.64 / $12,653.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.54 / $132.41 / $255.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.91 / $716.91 / $716.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.61 / $251.00 / $346.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.01 / $204.28 / $1,108.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.83 / $243.16 / $1,227.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.65 / $274.87 / $917.51
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.36 / $238.14 / $332.77
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.27 / $141.57 / $959.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,775.00 / $3,227.00 / $6,169.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.83 / $245.78 / $320.02