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Alaska rates for HCPCS 64400

Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular)

Facilitymedian $331 · 10th–90th $68–$8710%10%10th90th$331Professionalmedian $126 · 10th–90th $51–$4170%5%10%10th90th$126$50.0$200.0$1.0K$5.0K

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
$457.09 / $758.58 / $4,677.35
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$870.96 / $870.96 / $870.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $112.20 / $281.84
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$977.24 / $977.24 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $120.23 / $323.59
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $190.55 / $645.65
Moda Health
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$870.96 / $870.96 / $870.96
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $229.09 / $549.54
Moda Health
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$977.24 / $977.24 / $977.24
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $457.09 / $616.60
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $162.18 / $446.68
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $120.23 / $263.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $199.53 / $588.84