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Vermont 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
Professional
Modifier
Low / Median / High Price
$28.48 / $100.95 / $219.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.66 / $74.66 / $74.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.01 / $118.90 / $347.65
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.36 / $123.77 / $347.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.57 / $139.88 / $413.71