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Kansas 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
$1,361.00 / $3,498.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.98 / $188.61 / $371.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.78 / $517.90 / $1,093.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.09 / $120.10 / $307.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $624.00 / $624.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.97 / $179.55 / $372.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.48 / $224.66 / $1,124.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.46 / $289.39 / $1,886.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.00 / $1,341.00 / $2,746.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.25 / $255.82 / $377.34