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Colorado rates for HCPCS 64400

Injection Aa&/Strd Trigeminal Nerve Each Branch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.04 / $841.50 / $6,886.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,488.01 / $3,495.45 / $3,918.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.34 / $99.76 / $184.56
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$163.58 / $337.58 / $675.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,974.00 / $2,971.00 / $7,022.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.80 / $70.19 / $112.59
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$83.11 / $91.55 / $149.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.66 / $111.66 / $351.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.16 / $123.18 / $203.92
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.35 / $111.04 / $177.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.11 / $117.77 / $193.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.00 / $1,262.00 / $2,720.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.98 / $152.50 / $250.96