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Missouri rates for HCPCS 64454

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

Facilitymedian $1,698 · 10th–90th $195–$5,6230%5%10th90th$1,698Professionalmedian $174 · 10th–90th $76–$4170%5%10th90th$174$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
$104.71 / $2,344.23 / $6,309.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $181.97 / $436.52
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$120.23 / $309.03 / $630.96
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $1,819.70 / $4,168.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $91.20 / $154.88
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$112.20 / $138.04 / $229.09
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $229.09 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $181.97 / $389.05
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $208.93 / $1,412.54
Medica
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$302.00 / $302.00 / $302.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $338.84 / $1,905.46
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $1,047.13 / $2,089.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $186.21 / $354.81