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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
$30.92 / $3,908.01 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.88 / $78.89 / $338.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,973.60 / $6,541.64 / $12,653.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.44 / $44.36 / $63.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.91 / $716.91 / $716.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.12 / $76.34 / $352.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.83 / $52.25 / $617.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.02 / $78.23 / $579.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.93 / $176.59 / $921.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.33 / $103.33 / $363.26
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.86 / $44.10 / $948.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,775.00 / $3,227.00 / $6,169.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.02 / $75.31 / $412.35