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New York 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
$112.20 / $2,884.03 / $7,762.47
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,235.94 / $3,235.94 / $4,466.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $128.82 / $316.23
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$134.90 / $208.93 / $208.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $3,630.78 / $5,011.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $151.36 / $338.84
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$186.21 / $229.09 / $512.86
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $1,258.93 / $4,073.80
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $199.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $109.65 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $165.96 / $478.63
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $87.10 / $234.42
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $302.00 / $426.58
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $147.91 / $147.91
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $204.17 / $338.84
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $251.19 / $416.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $3,311.31 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $134.90 / $338.84
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $74.13 / $363.08
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $186.21 / $346.74