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Delaware 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
$3,140.00 / $3,140.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.98 / $207.03 / $229.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.86 / $407.86 / $407.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.29 / $145.55 / $373.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.00 / $440.00 / $440.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.92 / $263.45 / $475.64