go back

Montana rates for HCPCS 64417

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.25 / $114.75 / $197.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.62 / $252.91 / $252.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.90 / $99.90 / $99.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.84 / $117.56 / $227.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.87 / $111.53 / $196.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.58 / $146.51 / $277.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.73 / $213.95 / $246.55