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Maine rates for HCPCS 64420

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

Facilitymedian $93 · 10th–90th $93–$930%50%100%$93Professionalmedian $117 · 10th–90th $62–$2040%5%10%10th90th$117$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
$93.33 / $93.33 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $117.49 / $186.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $89.13 / $138.04
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$79.43 / $131.83 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $128.82 / $234.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $131.83 / $208.93
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $114.82 / $213.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $112.20 / $204.17