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South Carolina 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
$251.19 / $4,265.80 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $51.29 / $218.78
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$208.93 / $208.93 / $208.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,584.89 / $2,951.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $41.69 / $186.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $371.54 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $123.03 / $338.84
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $446.68
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $100.00 / $363.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $3,890.45 / $7,762.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $72.44 / $281.84