go back

Montana rates for HCPCS 64420

Injection Aa&/Strd Intercostal Nrv Single Lvl

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $121.98 / $160.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.40 / $154.59 / $154.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.96 / $90.96 / $90.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.07 / $113.49 / $187.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.47 / $80.89 / $221.06
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.31 / $118.25 / $200.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.36 / $171.01 / $241.28