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Virginia 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)

Facilitymedian $275 · 10th–90th $34–$4,8980%5%10th90th$275Professionalmedian $72 · 10th–90th $26–$2880%5%10th90th$72$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $776.25 / $5,754.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $93.33 / $323.59
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$208.93 / $208.93 / $208.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $2,570.40 / $2,951.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $36.31 / $61.66
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$36.31 / $53.70 / $91.20
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $35.48 / $2,511.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $416.87 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $81.28 / $263.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $42.66 / $51.29
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $398.11 / $446.68
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $102.33 / $295.12
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $102.33 / $2,454.71
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $186.21 / $2,454.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $1,905.46 / $3,890.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $57.54 / $288.40