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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
$37.61 / $91.81 / $190.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.69 / $52.58 / $52.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.07 / $80.23 / $276.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.86 / $32.32 / $332.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.70 / $50.10 / $184.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.44 / $59.42 / $283.14