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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
$38.77 / $38.77 / $38.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.87 / $79.81 / $190.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.33 / $33.34 / $47.04
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$42.50 / $50.01 / $70.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.93 / $46.51 / $114.47
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.09 / $41.22 / $73.16
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.77 / $38.77 / $38.77
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.87 / $53.55 / $203.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.03 / $73.41 / $252.96