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Idaho 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
$2,037.15 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.38 / $203.84 / $547.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.29 / $446.29 / $447.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.87 / $212.05 / $376.15
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.31 / $214.03 / $602.66
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.84 / $349.06 / $423.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $32.34 / $340.27
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,246.64 / $1,753.89 / $2,148.87
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,846.65 / $2,630.84 / $3,267.48
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.68 / $304.89 / $456.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $2,620.00 / $4,441.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.80 / $314.60 / $423.50