go back

Utah rates for HCPCS 64421

Injection Aa&/Strd Intercostal Nrv Ea Addl Lvl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.79 / $2,910.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.79 / $130.79 / $273.00
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$110.82 / $110.82 / $110.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.72 / $90.87 / $276.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.84 / $32.34 / $43.66
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,361.81 / $1,728.22 / $2,518.51
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,042.72 / $2,592.33 / $3,777.77
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.96 / $61.50 / $395.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.00 / $1,649.00 / $2,824.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.76 / $56.26 / $276.91