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New York 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
$59.85 / $2,626.00 / $7,307.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.48 / $91.81 / $249.91
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$125.21 / $2,482.80 / $2,482.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $3,373.00 / $4,707.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.08 / $36.86 / $353.53
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$43.62 / $54.83 / $531.33
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.47 / $1,254.00 / $4,050.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.47 / $35.47 / $47.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.84 / $41.84 / $41.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $109.85 / $427.62
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.52 / $75.00 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.52 / $55.07 / $156.94
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.24 / $31.24 / $31.24
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.13 / $48.46 / $229.98
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.33 / $49.33 / $49.33
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.84 / $555.00 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.39 / $94.15 / $456.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.00 / $3,496.00 / $6,201.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $48.87 / $279.89
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.97 / $28.97 / $415.86
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.24 / $45.85 / $229.98