go back

Wyoming 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
$187.68 / $187.68 / $187.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $32.19 / $43.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$974.00 / $974.00 / $974.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $67.00 / $108.00
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$75.00 / $120.00 / $162.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.75 / $84.47 / $343.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$788.00 / $788.00 / $3,328.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.26 / $105.03 / $800.81