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Arizona rates for HCPCS 64420

Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,398.83 / $5,754.40
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$389.05 / $389.05 / $1,659.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $114.82 / $354.81
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$371.54 / $389.05 / $524.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $630.96 / $933.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $69.18 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $109.65 / $218.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $109.65 / $1,862.09
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,570.40 / $2,570.40 / $2,570.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $169.82 / $1,348.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,513.56 / $3,235.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $97.72 / $181.97