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Minnesota rates for HCPCS 64454

Injection Aa&/Strd Genicular Nrv Branches W/Img

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.09 / $226.57 / $2,084.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.04 / $172.92 / $316.02
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$630.38 / $630.38 / $630.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.82 / $1,179.08 / $2,457.60
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,576.86 / $2,392.44 / $4,194.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.78 / $350.72 / $757.84
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$232.17 / $490.50 / $1,136.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.17 / $799.08 / $1,922.29
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$112.30 / $112.30 / $112.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.61 / $411.98 / $914.33
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.06 / $730.55 / $1,513.61
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.87 / $343.80 / $764.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.87 / $246.88 / $1,136.00
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,194.33 / $2,817.96 / $4,145.18
Medica
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$299.14 / $299.14 / $299.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.26 / $429.38 / $871.20
Medica
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$587.91 / $587.91 / $587.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,187.00 / $2,872.00 / $4,241.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.34 / $410.57 / $796.94