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Ohio 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
$951.00 / $2,292.00 / $8,553.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.00 / $1,981.00 / $3,943.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.81 / $88.31 / $117.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.93 / $5,193.80 / $9,538.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $1,940.00 / $4,067.00