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Utah 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
$181.97 / $2,951.21 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $138.04 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $134.90 / $234.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $117.49
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,584.89 / $3,630.78
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,041.74 / $2,398.83 / $5,370.32
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $208.93 / $346.74
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $177.83 / $426.58
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $234.42 / $316.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $2,818.38 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $112.20 / $199.53