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Maine 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
$93.33 / $93.33 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $117.49 / $245.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $89.13 / $138.04
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$79.43 / $131.83 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $123.03 / $223.87
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $131.83 / $208.93
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $120.23 / $269.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $107.15 / $199.53