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Vermont 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
Professional
Modifier
Low / Median / High Price
$77.62 / $204.17 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $177.83 / $346.74
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $302.00 / $380.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $288.40 / $512.86