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Alabama rates for HCPCS 64400

Injection Aa&/Strd Trigeminal Nerve Each Branch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.30 / $814.04 / $1,768.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.16 / $86.71 / $169.55
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.44 / $40.44 / $55.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.98 / $703.32 / $946.19
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$871.46 / $1,054.98 / $1,419.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.26 / $91.44 / $147.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.81 / $112.95 / $263.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.00 / $896.00 / $1,670.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.34 / $99.68 / $196.20