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New York 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
$123.03 / $2,630.27 / $7,585.78
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$389.05 / $389.05 / $389.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $204.17 / $501.19
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$134.90 / $380.19 / $630.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $97.72 / $97.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $3,630.78 / $5,011.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $239.88 / $562.34
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$302.00 / $363.08 / $831.76
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $114.82 / $6,165.95
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $316.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $141.25 / $50,118.72
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$112.20 / $112.20 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $239.88 / $676.08
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $93.33 / $275.42
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $380.19 / $537.03
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $269.15 / $467.74
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $794.33 / $2,630.27
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$6,606.93 / $6,606.93 / $6,606.93
Highmark BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$177.83 / $177.83 / $457.09
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $371.54 / $537.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $3,311.31 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $194.98 / $478.63
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $95.50 / $141.25
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $234.42 / $446.68