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Michigan rates for HCPCS 64417

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

Facilitymedian $977 · 10th–90th $107–$4,8980%20%10th90th$977Professionalmedian $132 · 10th–90th $60–$2570%10%10th90th$132$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $977.24 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $123.03 / $257.04
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$208.93 / $208.93 / $208.93
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $61.66 / $74.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $95.50
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $144.54 / $257.04
BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$154.88 / $380.19 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $112.20 / $234.42
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $954.99 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $151.36 / $309.03
Health Alliance Plan
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$208.93 / $208.93 / $208.93
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $114.82 / $234.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $1,621.81 / $3,801.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $120.23 / $190.55