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Rhode Island 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
$1,513.56 / $5,623.41 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $93.33 / $380.19
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$208.93 / $208.93 / $208.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $30.90 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $56.23 / $426.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $2,454.71 / $6,025.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $63.10 / $309.03