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Tennessee 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
$55.86 / $2,133.00 / $6,681.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.67 / $41.92 / $186.64
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$210.40 / $210.40 / $210.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.21 / $30.21 / $30.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.00 / $1,483.00 / $2,244.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.40 / $42.57 / $96.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.06 / $88.28 / $257.43
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.42 / $308.80 / $12,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,928.00 / $1,928.00 / $1,928.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.00 / $1,560.00 / $2,914.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.76 / $65.12 / $304.41