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Arizona 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
$1,348.96 / $3,090.30 / $6,309.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $81.28 / $371.54
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$208.93 / $208.93 / $208.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $1,230.27 / $1,819.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $23.99 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $100.00 / $309.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $45.71 / $1,862.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $181.97 / $1,949.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,513.56 / $3,235.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $81.28 / $239.88