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Vermont 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
$1,047.13 / $1,047.13 / $1,949.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $131.83 / $338.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $1,479.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $218.78 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $138.04 / $190.55
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $165.96 / $223.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $151.36 / $309.03