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Indiana 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
$87.10 / $3,630.78 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $93.33 / $251.19
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$91.20 / $371.54 / $416.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $102.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $4,265.80 / $8,317.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $64.57 / $109.65
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$81.28 / $97.72 / $162.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $58.88 / $67.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $128.82 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $104.71 / $223.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $2,818.38 / $4,466.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $95.50 / $199.53