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Idaho rates for HCPCS 64421

Injection Aa&/Strd Intercostal Nrv Ea Addl Lvl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.50 / $888.00 / $4,500.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$636.60 / $636.60 / $636.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.90 / $81.72 / $210.02
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$125.21 / $125.21 / $125.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.52 / $50.62 / $254.99
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.99 / $81.72 / $450.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.96 / $53.38 / $78.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $46.93 / $52.99
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,595.57 / $2,281.73 / $2,842.02
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,368.01 / $3,422.61 / $4,306.64
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.28 / $58.40 / $78.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $2,620.00 / $4,441.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.86 / $182.70 / $337.22