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Arizona 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
$1,170.00 / $2,640.00 / $5,506.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.71 / $1,516.10 / $2,479.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.37 / $116.33 / $1,891.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,086.00 / $1,958.00 / $3,268.00