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Alaska rates for HCPCS 64416

Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $5,888.44 / $14,125.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $223.87 / $575.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $194.98 / $446.68