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Tennessee 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
$98.54 / $1,367.00 / $6,681.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.47 / $194.25 / $289.72
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$298.08 / $298.85 / $736.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.00 / $1,480.00 / $2,244.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.14 / $193.09 / $380.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.96 / $203.96 / $365.45
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $404.18 / $404.18
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.64 / $676.43 / $1,886.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.00 / $1,465.00 / $2,886.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.75 / $259.68 / $446.90