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Delaware 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
$3,235.94 / $3,235.94 / $7,244.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $53.70 / $251.19
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$109.65 / $109.65 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $97.72 / $257.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $436.52 / $5,011.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $91.20 / $331.13