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Delaware 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
$48.50 / $124.64 / $931.96
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,690.96 / $1,690.96 / $1,690.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.39 / $99.42 / $111.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.53 / $85.53 / $85.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.75 / $104.88 / $207.90
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.68 / $1,070.38 / $1,341.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.00 / $143.00 / $500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.59 / $126.22 / $242.23