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Oklahoma 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
$750.00 / $3,683.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.44 / $29.54 / $190.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.79 / $1,783.71 / $2,818.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.50 / $33.64 / $48.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.33 / $51.29 / $306.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.57 / $112.39 / $2,038.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.76 / $162.22 / $1,928.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,325.00 / $2,637.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.01 / $43.76 / $294.86