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Wyoming 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
Professional
Modifier
Low / Median / High Price
$80.01 / $100.99 / $299.52
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$116.09 / $116.09 / $116.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.00 / $739.00 / $739.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.00 / $265.00 / $720.00
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$246.00 / $477.00 / $1,080.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.22 / $282.74 / $489.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$788.00 / $788.00 / $3,328.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.45 / $425.76 / $786.50