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Ohio rates for HCPCS 64415

Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed

Facilitymedian $1,549 · 10th–90th $138$7,0790%5%10%10th90th$1,549Professionalmedian $120 · 10th–90th $62$2690%10%20%10th90th$120$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $1,513.56 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $123.03 / $309.03
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $63.10 / $102.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $1,995.26 / $3,981.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $89.13 / $177.83
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$89.13 / $134.90 / $269.15
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $85.11 / $112.20
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $165.96 / $288.40
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $102.33 / $21,379.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $120.23 / $213.80
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $1,584.89 / $7,079.46
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $117.49 / $213.80
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $33.11 / $34.67
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $707.95 / $1,096.48
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $154.88 / $229.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $1,862.09 / $4,073.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $100.00 / $190.55