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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
$343.25 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.52 / $144.16 / $343.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$573.77 / $573.77 / $575.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.46 / $148.03 / $244.14
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.56 / $162.06 / $360.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.01 / $255.65 / $309.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $249.73 / $278.27
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.93 / $2,281.73 / $2,842.02
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,448.18 / $3,422.61 / $4,306.64
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.97 / $193.12 / $330.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $2,620.00 / $4,441.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.76 / $202.28 / $276.19