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Maine 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
$38.90 / $38.90 / $38.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $69.18 / $275.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $37.15 / $57.54
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$32.36 / $54.95 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $51.29 / $331.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $43.65 / $97.72
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $69.18 / $275.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $63.10 / $218.78