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Oklahoma rates for HCPCS 64415

Injection Aa&/Strd Brachial Plexus W/Img Gdn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.87 / $1,474.00 / $6,245.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.99 / $99.81 / $117.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.79 / $1,783.71 / $2,818.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.72 / $108.50 / $148.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$770.49 / $770.49 / $770.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.91 / $109.21 / $191.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.48 / $132.75 / $2,086.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.78 / $147.76 / $1,433.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,325.00 / $2,637.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.97 / $127.83 / $178.49