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Michigan 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
$84.17 / $962.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.95 / $114.75 / $205.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$692.45 / $812.73 / $1,101.11
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$437.65 / $550.55 / $707.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.14 / $91.30 / $154.26
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$154.19 / $154.19 / $382.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.75 / $117.18 / $233.22
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.72 / $979.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.06 / $144.16 / $255.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.71 / $135.73 / $192.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.00 / $3,005.00 / $4,504.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.24 / $158.47 / $224.15