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Washington 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
$43.05 / $400.31 / $13,750.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.70 / $81.72 / $236.37
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.82 / $2,583.03 / $6,683.07
Asuris Northwest Health
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,799.32 / $3,874.55 / $7,495.73
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.73 / $63.36 / $1,928.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$72.15 / $100.89 / $211.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.83 / $500.00 / $568.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.26 / $82.28 / $231.22
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.03 / $213.44 / $840.73
Kaiser Permanente
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,907.75 / $2,550.75 / $5,846.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.09 / $200.82 / $534.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.03 / $50.60 / $89.76
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $67.00 / $299.63
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.39 / $45.70 / $927.31
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.53 / $59.69 / $83.30
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,674.98 / $2,581.55 / $4,941.05
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,512.46 / $3,872.33 / $7,411.58
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.77 / $56.84 / $81.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.00 / $938.00 / $4,611.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.71 / $77.41 / $293.94
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.47 / $27.61 / $36.13