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Pennsylvania rates for HCPCS 64450

Injection Aa&/Strd Other Peripheral Nerve/Branch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.64 / $988.00 / $3,811.37
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$300.44 / $897.76 / $4,349.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.22 / $78.48 / $190.16
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$48.54 / $243.67 / $502.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.52 / $63.40 / $100.21
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,299.82 / $2,746.00 / $13,822.74
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.43 / $118.67 / $199.95
Capital Blue Cross
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$108.64 / $178.01 / $293.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.36 / $70.36 / $70.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.68 / $83.53 / $145.86
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.16 / $114.43 / $148.83
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.29 / $1,387.34 / $2,905.29
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,343.86 / $3,761.86 / $6,269.74
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.55 / $90.27 / $109.68
Highmark BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$118.35 / $125.19 / $137.69
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.86 / $1,246.82 / $4,211.00
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$300.44 / $2,639.00 / $5,430.95
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.38 / $82.13 / $190.16
Martin's Point
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$44.27 / $223.67 / $502.50
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.95 / $114.39 / $155.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.36 / $70.36 / $70.36
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.95 / $83.71 / $148.52
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.83 / $70.58 / $111.14
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.83 / $71.14 / $77.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$471.00 / $1,305.00 / $3,742.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.16 / $108.77 / $151.07