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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
$617.00 / $2,505.00 / $7,197.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.69 / $3,159.00 / $14,886.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.93 / $88.93 / $88.93
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.00 / $2,371.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.93 / $88.93 / $88.93
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.97 / $76.97 / $169.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$471.00 / $1,305.00 / $3,742.00