go back

South Carolina 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
$91.20 / $851.14 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $117.49 / $371.54
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 / $70.79 / $102.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $870.96 / $1,621.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $112.20 / $204.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $371.54 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $134.90 / $234.42
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $263.03
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $131.83 / $257.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $3,890.45 / $7,762.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $102.33 / $204.17