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West Virginia 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
$784.00 / $3,875.15 / $6,870.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.64 / $103.59 / $157.51
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.67 / $80.00 / $110.01
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.31 / $191.89 / $278.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.82 / $119.82 / $119.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.31 / $136.51 / $319.14
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,027.86 / $2,625.32 / $5,165.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.49 / $150.85 / $248.90