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Texas 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
$524.81 / $2,290.87 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $46.77 / $251.19
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$208.93 / $489.78 / $489.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $35.48 / $363.08
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$46.77 / $46.77 / $46.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,288.25 / $2,570.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $30.90 / $50.12
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $1,621.81 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $63.10 / $302.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $19,498.45 / $19,498.45
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $1,949.84 / $1,949.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $104.71 / $2,089.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $40.74 / $190.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $32.36 / $33.11
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $125.89 / $194.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $83.18 / $354.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $54.95 / $302.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $1,698.24 / $4,168.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $79.43 / $239.88
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $35.48 / $35.48