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Oklahoma rates for HCPCS 64417

Injection Aa&/Strd Axillary Nerve W/Img Gdn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.60 / $2,438.00 / $6,435.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.97 / $116.07 / $135.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.79 / $1,783.71 / $2,818.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.06 / $132.65 / $182.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$770.49 / $770.49 / $770.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.55 / $112.72 / $209.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.35 / $142.34 / $2,038.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.52 / $151.75 / $1,227.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,325.00 / $2,637.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.31 / $142.29 / $202.19