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California rates for HCPCS 64451

Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.57 / $4,749.00 / $16,125.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,005.12 / $2,005.12 / $2,502.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.15 / $197.62 / $460.85
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$220.42 / $298.08 / $311.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,723.00 / $4,464.00 / $8,976.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.11 / $137.22 / $433.75
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$113.74 / $147.61 / $385.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $4,979.42
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.68 / $182.74 / $367.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.06 / $731.35 / $1,487.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.32 / $215.31 / $422.65
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.91 / $192.85 / $388.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.10 / $222.17 / $435.80
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $372.39 / $404.18
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.64 / $676.43 / $1,886.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.60 / $203.22 / $369.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.67 / $215.52 / $468.88
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.33 / $259.33 / $704.13
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.37 / $232.42 / $319.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,198.00 / $2,699.00 / $7,399.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.72 / $233.61 / $504.93