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Utah rates for HCPCS 64420

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

Facilitymedian $2,951 · 10th–90th $191$4,5710%10%20%10th90th$2,951Professionalmedian $145 · 10th–90th $63$3470%5%10%10th90th$145$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $3,162.28 / $4,570.88
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$812.83 / $812.83 / $954.99
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $134.90 / $346.74
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$323.59 / $338.84 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $112.20 / $204.17
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $208.93
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,348.96 / $2,089.30
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,479.11 / $2,041.74 / $3,090.30
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $162.18 / $302.00
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $151.36 / $354.81
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $138.04 / $208.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $2,818.38 / $5,128.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $95.50 / $177.83
United
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$229.09 / $229.09 / $229.09