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Missouri rates for HCPCS 64420

Injection Aa&/Strd Intercostal Nrv Single Lvl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.00 / $1,184.00 / $5,691.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.09 / $93.67 / $185.91
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$91.74 / $91.74 / $524.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.85 / $85.43 / $118.90
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$96.90 / $128.52 / $178.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.64 / $114.00 / $222.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.11 / $121.75 / $1,775.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.00 / $211.46 / $1,340.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.00 / $1,632.00 / $2,675.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.81 / $155.26 / $254.41