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Alaska rates for HCPCS 64421

Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, each additional level (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.77 / $5,084.91 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.52 / $123.53 / $210.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.09 / $88.81 / $141.58
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.52 / $135.88 / $223.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.09 / $97.05 / $197.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.90 / $145.00 / $817.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.52 / $135.90 / $223.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.37 / $161.69 / $817.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.42 / $180.84 / $283.57