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New York rates for HCPCS 64420

Injection Aa&/Strd Intercostal Nrv Single Lvl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.92 / $2,626.00 / $7,185.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.56 / $112.15 / $254.20
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$91.74 / $2,482.80 / $2,482.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $3,373.00 / $4,707.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.34 / $104.11 / $269.20
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$126.76 / $158.19 / $409.95
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.91 / $1,254.00 / $4,050.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.91 / $83.91 / $141.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.02 / $100.02 / $100.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.63 / $141.38 / $355.52
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.17 / $98.95 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.54 / $148.01 / $238.61
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.49 / $91.49 / $91.49
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.42 / $125.99 / $207.24
Fidelis
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$94.83 / $94.83 / $94.83
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.10 / $558.10 / $558.10
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.99 / $145.99 / $145.99
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.02 / $555.00 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.23 / $147.66 / $371.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.00 / $3,496.00 / $6,201.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.41 / $141.11 / $325.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.69 / $67.69 / $301.83
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.49 / $134.27 / $207.24