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California 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
$891.25 / $5,128.61 / $15,848.93
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$851.14 / $891.25 / $4,786.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $123.03 / $346.74
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$91.20 / $288.40 / $1,659.59
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $104.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $4,466.84 / $12,022.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $95.50 / $218.78
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$81.28 / $141.25 / $288.40
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $616.60 / $5,754.40
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $154.88 / $302.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $724.44 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $123.03 / $257.04
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $72.44 / $169.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $112.20 / $208.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $2,089.30 / $19,498.45
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,348.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $83.18 / $138.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $114.82 / $223.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $128.82 / $245.47
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $331.13
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $83.18 / $128.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $2,884.03 / $7,943.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $91.20 / $213.80