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Wyoming rates for HCPCS 64415

Injection Aa&/Strd Brachial Plexus W/Img Gdn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,610.25 / $6,800.33 / $9,586.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.07 / $134.99 / $1,091.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$974.00 / $974.00 / $974.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.00 / $223.00 / $434.00
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$207.00 / $402.00 / $651.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.11 / $156.47 / $285.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$788.00 / $788.00 / $3,328.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.16 / $226.61 / $432.91