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Pennsylvania 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
$977.24 / $2,818.38 / $8,317.64
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $2,691.53 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $134.90 / $134.90
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $4,466.84
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $2,570.40 / $7,762.47
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $125.89 / $125.89
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $169.82 / $489.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $1,862.09 / $3,890.45