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Wisconsin rates for HCPCS 64420

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

Facilitymedian $2,754 · 10th–90th $120$5,0120%10%10th90th$2,754Professionalmedian $132 · 10th–90th $58$3470%5%10%10th90th$132$50.0$200.0$1.0K$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
$91.20 / $954.99 / $2,570.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $97.72 / $245.47
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$229.09 / $389.05 / $416.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $3,090.30 / $5,754.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $131.83 / $316.23
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$128.82 / $199.53 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $309.03 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $229.09 / $446.68
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $131.83 / $3,162.28
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $177.83 / $269.15
DeanCare
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$162.18 / $263.03 / $407.38
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $134.90 / $3,630.78
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $251.19 / $1,348.96
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $91.20
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $2,951.21 / $3,235.94
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $213.80 / $446.68
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $190.55 / $346.74
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $1,445.44 / $2,089.30
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $660.69 / $1,348.96
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $204.17 / $346.74
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $371.54 / $575.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $2,754.23 / $5,011.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $147.91 / $380.19
United
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$229.09 / $229.09 / $229.09