go back

Nebraska 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
$48.98 / $3,162.28 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $81.28 / $338.84
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
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $6,456.54 / $12,589.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $44.67 / $64.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $724.44 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $77.62 / $363.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $52.48 / $1,096.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $79.43 / $1,949.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $77.62 / $363.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $724.44 / $724.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $74.13 / $102.33
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $41.69 / $74.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,819.70 / $6,309.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $57.54 / $316.23