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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
$100.00 / $4,677.35 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $77.62 / $190.55
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$85.11 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $89.13 / $141.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $158.49 / $416.87
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $104.71 / $181.97
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $134.90 / $602.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $151.36 / $416.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $85.11 / $147.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $134.90 / $281.84