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Idaho 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
$173.78 / $616.60 / $7,079.46
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,122.02 / $1,122.02 / $1,122.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $131.83 / $229.09
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$91.20 / $91.20 / $91.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $794.33 / $1,819.70
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$371.54 / $1,071.52 / $2,754.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $147.91 / $194.98
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$151.36 / $251.19 / $295.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $114.82 / $186.21
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $144.54 / $323.59
Moda Health
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,122.02 / $1,122.02 / $1,122.02
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $158.49 / $263.03
Moda Health
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$91.20 / $91.20 / $91.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,548.82 / $2,238.72
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,862.09 / $2,630.27 / $3,388.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $134.90 / $208.93
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $109.65 / $1,047.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $2,630.27 / $4,466.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $120.23 / $204.17