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Alaska rates for HCPCS 64454

Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $208.93 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $346.74 / $954.99
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $575.44 / $1,412.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $426.58 / $1,071.52
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $467.74 / $1,202.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $302.00 / $1,096.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $199.53 / $524.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $512.86 / $1,202.26