go back

Kansas 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
$957.00 / $3,506.00 / $10,439.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,024.15 / $1,024.15 / $1,024.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.30 / $183.12 / $361.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.92 / $782.45 / $1,093.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.18 / $310.80 / $840.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $624.00 / $624.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.79 / $180.70 / $370.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.78 / $218.15 / $1,124.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.57 / $292.27 / $1,886.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.00 / $1,353.00 / $2,793.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.34 / $260.45 / $370.95