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New Hampshire 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
$323.59 / $1,819.70 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $91.20 / $245.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,412.54 / $2,630.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $43.65 / $63.10
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$32.36 / $66.07 / $91.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $58.88 / $234.42
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $7,943.28 / $7,943.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $45.71 / $83.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $7,943.28 / $7,943.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $54.95 / $263.03
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $24.55 / $39.81
Well Sense
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$37.15 / $37.15 / $37.15