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Arizona 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
$1,170.00 / $2,640.00 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.31 / $190.35 / $383.57
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$630.38 / $630.38 / $630.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.66 / $525.76 / $859.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.05 / $105.92 / $173.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.62 / $179.55 / $361.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.02 / $209.39 / $1,497.00
Medica
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$299.14 / $299.14 / $299.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.71 / $254.10 / $616.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,086.00 / $1,958.00 / $3,268.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.55 / $223.85 / $435.61