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Maryland rates for HCPCS 64420

Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level

Facilitymedian $295 · 10th–90th $158–$1,9050%20%10th90th$295Professionalmedian $100 · 10th–90th $58–$2510%5%10%10th90th$100$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $295.12 / $2,511.89
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $100.00 / $251.19
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$75.86 / $524.81 / $2,454.71
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $63.10 / $89.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $114.82 / $223.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $128.82 / $194.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $123.03 / $426.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $102.33 / $204.17
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $128.82 / $158.49