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Maryland 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
$295.12 / $295.12 / $2,511.89
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$199.53 / $199.53 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $112.20 / $346.74
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$75.86 / $416.87 / $2,454.71
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $63.10 / $81.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $338.84 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $114.82 / $223.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $128.82 / $194.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $123.03 / $158.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $102.33 / $199.53
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $128.82 / $158.49