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Virginia rates for HCPCS 64420

Injection Aa&/Strd Intercostal Nrv Single Lvl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.02 / $1,397.00 / $5,778.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$12,433.62 / $12,433.62 / $12,433.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $100.49 / $154.88
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$982.35 / $982.35 / $982.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,735.00 / $2,390.00 / $2,954.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.16 / $67.98 / $112.40
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$79.75 / $101.98 / $168.61
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.55 / $71.54 / $2,012.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.02 / $100.02 / $420.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.63 / $112.54 / $222.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.64 / $119.86 / $141.61
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.12 / $121.75 / $214.98
Medcost
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$192.29 / $266.43 / $435.25
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.72 / $158.00 / $243.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.88 / $86.92 / $780.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.13 / $163.50 / $780.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$921.00 / $1,890.00 / $3,765.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.70 / $156.69 / $264.22