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Nebraska 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
$212.43 / $3,908.01 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.51 / $199.23 / $405.30
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$298.08 / $298.08 / $298.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,973.60 / $6,541.64 / $12,653.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.40 / $182.75 / $432.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.63 / $557.63 / $557.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.41 / $397.51 / $657.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.39 / $212.43 / $528.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.50 / $435.84 / $611.91
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.23 / $488.51 / $722.68
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.55 / $425.80 / $643.48
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.17 / $222.74 / $737.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,775.00 / $3,227.00 / $6,169.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.50 / $435.84 / $554.62