go back

California rates for HCPCS 64421

Injection Aa&/Strd Intercostal Nrv Ea Addl Lvl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.83 / $4,429.37 / $16,125.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.61 / $138.88 / $384.24
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$125.21 / $125.21 / $125.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,723.00 / $4,464.00 / $8,976.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $101.29 / $217.81
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$39.25 / $48.85 / $220.50
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $4,979.42
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.68 / $168.17 / $338.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,487.00 / $1,487.00 / $1,487.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.52 / $108.54 / $333.03
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.89 / $47.15 / $127.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.27 / $36.24 / $71.80
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.42 / $308.80 / $12,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,928.00 / $1,928.00 / $1,928.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.12 / $44.74 / $264.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.04 / $97.68 / $326.70
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.47 / $82.47 / $111.32
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.44 / $35.72 / $152.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.00 / $2,679.00 / $7,399.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.16 / $66.36 / $283.93