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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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $4,677.35 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $87.10 / $338.84
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$208.93 / $2,454.71 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $112.20 / $380.19
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $45.71 / $158.49
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,884.03 / $4,570.88
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $38.90 / $120.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $3,715.35 / $7,762.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $50.12 / $281.84