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Massachusetts rates for HCPCS 64420

Injection Aa&/Strd Intercostal Nrv Single Lvl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.01 / $1,473.20 / $3,363.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$691.20 / $691.20 / $691.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $109.76 / $188.46
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.16 / $1,177.70 / $7,161.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.00 / $182.47 / $1,340.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.52 / $86.76 / $154.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.28 / $149.10 / $301.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.81 / $145.06 / $279.20
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.58 / $216.03 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.24 / $137.22 / $189.43
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.69 / $159.68 / $290.35
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$769.23 / $1,049.26 / $1,673.98
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.48 / $169.62 / $317.36
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.37 / $2,078.00 / $12,000.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.43 / $279.23 / $1,340.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.00 / $2,408.00 / $5,683.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.29 / $215.26 / $339.90