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California 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
$344.00 / $4,848.00 / $16,573.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.51 / $200.76 / $478.08
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$630.38 / $630.38 / $630.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,723.00 / $4,464.00 / $8,976.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.24 / $141.90 / $472.96
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$116.65 / $148.83 / $376.39
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $1,684.75
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.42 / $184.79 / $370.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.06 / $731.35 / $1,487.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.67 / $219.13 / $424.50
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.37 / $194.71 / $376.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.47 / $218.40 / $423.26
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $373.93 / $406.03
Lucent Health
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$299.14 / $324.82 / $324.82
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.04 / $679.28 / $1,886.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.03 / $203.35 / $358.99
Providence
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$112.30 / $112.30 / $112.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.64 / $219.23 / $455.13
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.74 / $267.74 / $711.34
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.75 / $225.74 / $310.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,198.00 / $2,699.00 / $7,399.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.25 / $232.00 / $500.63