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Texas 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
$421.25 / $1,860.00 / $6,386.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.51 / $1,291.16 / $2,866.54
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.91 / $71.91 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.93 / $88.93 / $88.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $3,435.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.40 / $113.60 / $238.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.40 / $113.49 / $236.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$374.00 / $1,529.00 / $3,400.00