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New York 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
$89.51 / $1,836.30 / $7,095.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.44 / $117.51 / $255.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $3,373.00 / $4,707.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.02 / $96.77 / $287.02
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$114.48 / $145.16 / $431.74
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.77 / $1,254.00 / $4,050.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.77 / $89.77 / $161.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.82 / $119.82 / $119.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.39 / $140.12 / $382.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $112.50 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.44 / $208.39 / $420.64
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.04 / $124.04 / $124.04
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.31 / $154.72 / $283.56
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$720.73 / $720.73 / $3,544.79
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.82 / $555.00 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.70 / $153.25 / $388.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.00 / $3,496.00 / $6,201.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.67 / $162.51 / $378.40
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.95 / $80.95 / $365.79
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.04 / $163.44 / $283.56