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New Jersey rates for HCPCS 64415

Injection Aa&/Strd Brachial Plexus W/Img Gdn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.00 / $2,033.92 / $8,419.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$14,019.75 / $14,019.75 / $14,019.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.43 / $106.26 / $171.12
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.26 / $74.00 / $181.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.70 / $137.99 / $358.36
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.22 / $204.87 / $210.87
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,746.73 / $1,958.61 / $4,395.92
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.27 / $110.73 / $243.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,354.00 / $3,961.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.58 / $174.53 / $402.30