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New Hampshire 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
$100.00 / $588.84 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $114.82 / $218.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,412.54 / $2,630.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $114.82 / $162.18
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$79.43 / $173.78 / $239.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $141.25 / $295.12
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $7,943.28 / $7,943.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $125.89 / $245.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $7,943.28 / $7,943.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $128.82 / $275.42
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $74.13 / $120.23
Well Sense
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$112.20 / $112.20 / $112.20