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Idaho rates for HCPCS 64417

Injection(s), anesthetic agent(s) and/or steroid; axillary nerve, including imaging guidance, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $1,412.54 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $141.25 / $398.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $977.24 / $2,398.83
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$371.54 / $1,479.11 / $3,630.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $239.88 / $316.23
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$162.18 / $323.59 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $128.82 / $239.88
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $173.78 / $346.74
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $186.21 / $371.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $2,041.74 / $2,951.21
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,398.83 / $3,388.44 / $4,466.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $194.98 / $331.13
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $173.78 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $2,630.27 / $4,466.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $138.04 / $251.19