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Wisconsin rates for HCPCS 64415

Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed

Facilitymedian $2,818 · 10th–90th $145$5,7540%10%10th90th$2,818Professionalmedian $158 · 10th–90th $66$7410%5%10%10th90th$158$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $1,230.27 / $6,309.57
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$3,388.44 / $3,388.44 / $3,388.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $138.04 / $1,047.13
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$537.03 / $537.03 / $549.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $3,090.30 / $5,754.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $151.36 / $331.13
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$141.25 / $223.87 / $537.03
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $83.18 / $112.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $416.87 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $275.42 / $562.34
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $144.54 / $3,162.28
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $213.80 / $371.54
DeanCare
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$190.55 / $323.59 / $549.54
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $186.21 / $3,311.31
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $245.47 / $1,445.44
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $89.13
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $2,951.21 / $3,235.94
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $245.47 / $588.84
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $245.47 / $512.86
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $1,819.70 / $2,691.53
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $549.54 / $1,513.56
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $218.78 / $398.11
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $407.38 / $794.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,754.23 / $5,011.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $158.49 / $407.38