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Minnesota 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
$79.43 / $234.42 / $1,905.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $199.53 / $436.52
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$114.82 / $295.12 / $912.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $1,318.26 / $3,162.28
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,621.81 / $2,951.21 / $7,413.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $323.59 / $741.31
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$213.80 / $467.74 / $1,047.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $870.96 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $380.19 / $977.24
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $794.33 / $1,621.81
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $338.84 / $812.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $251.19 / $1,737.80
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,897.79 / $4,897.79 / $4,897.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $426.58 / $1,023.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $2,238.72 / $5,495.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $245.47 / $630.96