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New Jersey 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)

Facilitymedian $4,571 · 10th–90th $1,349–$10,4710%10%20%10th90th$4,571Professionalmedian $58 · 10th–90th $23–$2950%10%10th90th$58$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $4,677.35 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $83.18 / $338.84
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$2,454.71 / $2,454.71 / $2,454.71
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $109.65 / $407.38
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $45.71 / $158.49
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $2,884.03 / $4,570.88
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $38.90 / $120.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,548.13 / $6,606.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $47.86 / $281.84