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Michigan rates for HCPCS 64454

Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed

Facilitymedian $2,042 · 10th–90th $269–$4,8980%20%10th90th$2,042Professionalmedian $191 · 10th–90th $78–$3310%10%10th90th$191$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $2,041.74 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $194.98 / $331.13
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$380.19 / $380.19 / $380.19
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $77.62
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $123.03 / $123.03
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $123.03 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $158.49 / $323.59
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $2,041.74 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $223.87 / $371.54
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $158.49 / $323.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $1,584.89 / $3,801.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $173.78 / $288.40