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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)

Facilitymedian $229 · 10th–90th $55$6,6070%5%10th90th$229Professionalmedian $83 · 10th–90th $30$3240%10%10th90th$83$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$45.71 / $2,041.74 / $17,782.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $83.18 / $371.54
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$208.93 / $208.93 / $208.93
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $47.86 / $47.86
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,778.28 / $2,454.71 / $4,897.79
Asuris Northwest Health
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,630.27 / $3,630.78 / $7,413.10
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $56.23 / $83.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $501.19 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $72.44 / $199.53
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $181.97 / $831.76
Kaiser Permanente
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,905.46 / $3,235.94 / $6,760.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $154.88 / $416.87
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $32.36 / $33.11
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $66.07 / $288.40
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $45.71 / $309.03
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $50.12 / $83.18
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $2,511.89 / $4,897.79
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,511.89 / $3,801.89 / $7,413.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $56.23 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $2,754.23 / $5,011.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $67.61 / $239.88
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $40.74 / $74.13