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Montana 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
Professional
Modifier
Low / Median / High Price
$24.55 / $74.13 / $208.93
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$125.89 / $125.89 / $125.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $52.48 / $52.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $52.48 / $251.19
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $57.54 / $295.12
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $57.54 / $295.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $120.23 / $354.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $66.07 / $213.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $56.23 / $245.47