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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
$26.92 / $2,398.83 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $83.18 / $426.58
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$208.93 / $208.93 / $208.93
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $19.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,862.09 / $15,488.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $104.71 / $154.88
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$61.66 / $158.49 / $234.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $35.48 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $69.18 / $302.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $64.57 / $2,089.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $213.80 / $1,949.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,047.13 / $2,238.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $46.77 / $275.42