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Indiana 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
$74.23 / $2,529.39 / $5,634.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$740.96 / $4,119.97 / $8,230.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.30 / $99.22 / $148.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$811.83 / $811.83 / $962.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,638.00 / $3,267.00 / $4,271.00