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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
$91.29 / $93.23 / $267.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.47 / $184.61 / $479.59
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.07 / $276.88 / $437.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.30 / $317.83 / $875.68