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Maine 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
$72.44 / $72.44 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $138.04 / $239.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $97.72 / $151.36
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$91.20 / $144.54 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $147.91 / $295.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $194.98 / $371.54
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $131.83 / $295.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $131.83 / $281.84