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Texas 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
$236.50 / $1,097.24 / $5,151.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$271.55 / $1,898.50 / $1,898.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.31 / $103.93 / $185.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$665.46 / $1,274.92 / $2,687.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.61 / $107.88 / $171.68
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.01 / $382.35 / $4,100.00
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.20 / $109.23 / $604.29
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.70 / $76.36 / $76.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.82 / $119.82 / $119.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.20 / $125.58 / $213.96
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.87 / $11,500.00 / $12,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,227.00 / $1,433.08 / $1,504.73
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.65 / $129.36 / $231.37
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.78 / $148.41 / $232.31
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,853.38 / $3,942.95 / $6,094.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.92 / $139.44 / $279.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.65 / $129.36 / $229.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.59 / $131.19 / $229.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$374.00 / $1,529.00 / $3,400.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.97 / $126.01 / $209.18
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.15 / $124.59 / $174.97