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Arizona rates for HCPCS 64400

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.00 / $1,980.80 / $5,506.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,377.42 / $2,377.42 / $3,188.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.42 / $97.58 / $207.89
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$144.80 / $830.88 / $927.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.94 / $499.47 / $859.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.53 / $59.24 / $88.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.38 / $110.42 / $195.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.90 / $108.58 / $1,053.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.75 / $130.09 / $1,030.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683.00 / $1,423.00 / $2,114.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.55 / $113.82 / $214.85