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Colorado 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
$271.00 / $3,189.00 / $8,734.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$7,845.00 / $7,845.00 / $7,845.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $83.46 / $210.02
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
$1,974.00 / $2,971.00 / $7,022.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.29 / $35.38 / $76.86
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$43.62 / $118.54 / $136.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.99 / $76.34 / $285.30
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.80 / $58.88 / $330.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.40 / $41.96 / $60.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,361.00 / $2,537.00 / $3,681.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.51 / $105.03 / $311.48