go back

Montana rates for HCPCS 64420

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $109.65 / $229.09
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$91.20 / $91.20 / $91.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $154.88 / $154.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $91.20 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $104.71 / $186.21
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $165.96 / $208.93
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $165.96 / $208.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $117.49 / $257.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $112.20 / $199.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $123.03 / $199.53