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Maine 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
$113.25 / $113.25 / $305.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.04 / $159.04 / $251.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.09 / $105.99 / $161.86
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$135.13 / $158.99 / $242.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.39 / $181.07 / $423.75
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.81 / $269.58 / $432.78
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.25 / $113.25 / $305.37
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.81 / $153.15 / $383.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.50 / $292.64 / $453.06