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Missouri 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
$32.74 / $2,507.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.86 / $33.71 / $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
$821.00 / $2,064.00 / $15,456.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.69 / $104.56 / $153.54
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$65.53 / $159.12 / $230.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.96 / $69.65 / $303.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.27 / $54.60 / $1,751.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.01 / $237.64 / $1,928.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.00 / $1,632.00 / $2,664.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.56 / $58.22 / $360.14