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Cost Estimator
ESTIMATE FOR
Brachial Plexus Nerve Block
CPT: 64415 
at Monson Test
using Cash - No Insurance
7/18/2026 12:42 AM
Monson Test Estimate
Patient portion estimate
$426.00*
Facility fee
$426.00
3rd party fees
Billed separately
*You may receive bills from any 3rd party providers involved with this procedure.
Pay in Full
$383.40
10% OFF for 30 days
Pay in Full 15
$362.10
15% OFF for 3000 days
2 Month Plan
$213.00
3 Month Plan
$142.00
4 Month Plan
$106.50
5 month plan
$85.20
6 Month Plan
$71.00
This estimate covers only the fees from Monson Test and may not include any 3rd party fees you may incur.
To schedule or ask a question
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Cost Detail
Total starting charges
$426.00
Cash Discount
$0.00
Total Estimated Patient Portion
$426.00

Cost data updated 6/23/2026 8:45 PM