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Oklahoma 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
$682.00 / $3,683.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.18 / $169.99 / $198.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.79 / $1,793.27 / $2,833.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.30 / $208.25 / $285.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.29 / $599.29 / $599.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.24 / $139.08 / $325.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.98 / $206.21 / $2,038.67
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
$181.22 / $240.17 / $616.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,325.00 / $2,637.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.67 / $229.26 / $314.73