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Arkansas 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
$112.20 / $794.33 / $2,187.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $39.81 / $245.47
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$208.93 / $208.93 / $208.93
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $38.02 / $66.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $870.96 / $1,174.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $37.15 / $50.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $724.44 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $123.03 / $302.00
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $43.65 / $75.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $912.01 / $2,511.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $46.77 / $251.19