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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
$186.21 / $186.21 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $45.71 / $331.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $977.24 / $977.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $95.50 / $107.15
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$50.12 / $89.13 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $74.13 / $346.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $794.33 / $3,235.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $100.00 / $371.54