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Tennessee 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
$108.90 / $1,367.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.21 / $106.74 / $174.97
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$537.44 / $537.44 / $553.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.01 / $113.01 / $113.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.00 / $1,483.00 / $2,244.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.13 / $133.99 / $233.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.41 / $125.30 / $223.62
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.87 / $336.49 / $12,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,227.00 / $1,433.08 / $1,504.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.00 / $1,560.00 / $2,914.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.59 / $148.06 / $268.83