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Pennsylvania rates for HCPCS 64420

Injection Aa&/Strd Intercostal Nrv Single Lvl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.16 / $1,234.00 / $5,750.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,736.70 / $1,736.70 / $2,936.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.53 / $91.06 / $168.24
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$91.74 / $91.74 / $524.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.11 / $104.11 / $104.11
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,299.82 / $2,746.00 / $13,822.74
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.46 / $100.10 / $171.70
Capital Blue Cross
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$142.66 / $171.70 / $235.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.02 / $100.02 / $100.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.03 / $109.25 / $211.23
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.48 / $152.38 / $197.73
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.16 / $948.23 / $1,829.48
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,462.77 / $1,462.77 / $1,678.63
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.57 / $108.57 / $192.79
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.79 / $1,357.00 / $5,958.00
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$879.26 / $1,736.70 / $3,248.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.72 / $113.48 / $253.14
Martin's Point
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$91.74 / $91.74 / $524.54
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.24 / $147.19 / $212.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.02 / $100.02 / $100.02
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.14 / $109.25 / $211.23
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.06 / $94.37 / $266.30
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.06 / $92.61 / $117.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$471.00 / $1,305.00 / $3,742.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.63 / $148.38 / $226.96