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Ohio 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 $1,950 · 10th–90th $35$8,9130%5%10%10th90th$1,950Professionalmedian $81 · 10th–90th $24$2570%5%10%10th90th$81$0.5$5.0$50.0$500.0$5.0K

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
$34.67 / $1,949.84 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $50.12 / $380.19
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$407.38 / $407.38 / $407.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $2,089.30 / $3,981.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $91.20 / $154.88
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$48.98 / $134.90 / $229.09
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $27.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $21,379.62 / $21,379.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $45.71 / $275.42
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,905.46 / $1,905.46 / $21,379.62
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $43.65 / $275.42
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $537.03
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $35.48 / $77.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $1,862.09 / $4,073.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $45.71 / $229.09