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Tennessee rates for HCPCS 64454

Injection Aa&/Strd Genicular Nrv Branches W/Img

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.73 / $2,011.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.92 / $186.02 / $288.86
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
$764.00 / $1,483.00 / $2,244.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.84 / $198.63 / $377.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.34 / $202.26 / $356.97
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $406.03 / $406.03
Lucent Health
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$299.14 / $324.82 / $324.82
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.04 / $679.28 / $1,886.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.00 / $1,560.00 / $2,914.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.59 / $262.23 / $440.47