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Wyoming 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
$12,477.29 / $12,477.29 / $12,477.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.99 / $76.98 / $186.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$974.00 / $974.00 / $974.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.00 / $205.00 / $520.00
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$192.00 / $369.00 / $780.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.11 / $171.81 / $338.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$788.00 / $788.00 / $3,328.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.61 / $273.76 / $434.22