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Oklahoma 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
$100.00 / $1,202.26 / $6,309.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $114.82 / $263.03
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$537.03 / $537.03 / $549.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $64.57 / $87.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,659.59 / $2,691.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $109.65 / $147.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $114.82 / $194.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $165.96 / $2,630.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $141.25 / $1,445.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $1,318.26 / $2,630.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $93.33 / $154.88