go back

California 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
$1,445.44 / $5,370.32 / $15,848.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $97.72 / $389.05
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$125.89 / $125.89 / $2,454.71
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $35.48 / $35.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $4,466.84 / $12,022.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $120.23 / $257.04
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$41.69 / $57.54 / $426.58
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $1,096.48 / $5,754.40
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $199.53 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $104.71 / $323.59
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $51.29 / $125.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $37.15 / $70.79
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $19,498.45
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $1,949.84 / $1,949.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $147.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $52.48 / $302.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $95.50 / $309.03
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $83.18 / $112.20
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $107.15 / $158.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $2,884.03 / $7,943.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $67.61 / $263.03