go back

Michigan rates for HCPCS 64510

Injection, anesthetic agent; stellate ganglion (cervical sympathetic)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.40 / $679.12 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.40 / $122.70 / $196.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$846.26 / $993.26 / $1,345.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.66 / $121.97 / $184.76
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$182.96 / $345.12 / $345.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.66 / $123.95 / $241.64
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.20 / $639.94 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.68 / $137.38 / $236.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.71 / $135.73 / $192.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.00 / $3,005.00 / $4,504.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.30 / $159.05 / $205.24