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Pennsylvania rates for HCPCS 64450

Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $1,288.25 / $4,265.80
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$302.00 / $2,630.27 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $95.50 / $316.23
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$61.66 / $234.42 / $575.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $46.77 / $74.13
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$38.02 / $38.02 / $51.29
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $2,570.40 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $107.15 / $186.21
Capital Blue Cross
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$109.65 / $162.18 / $281.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $70.79 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $85.11 / $147.91
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $131.83 / $165.96
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $100.00 / $165.96
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,380.38 / $2,630.27
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,348.96 / $3,548.13 / $4,786.30
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $83.18 / $104.71
Highmark BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$123.03 / $125.89 / $138.04
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $1,288.25 / $4,265.80
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$302.00 / $2,630.27 / $6,025.60
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $91.20 / $229.09
Martin's Point
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$66.07 / $234.42 / $660.69
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $120.23 / $158.49
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $128.82 / $169.82
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $52.48 / $117.49
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $70.79 / $117.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $1,584.89 / $3,890.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $81.28 / $134.90