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Florida rates for HCPCS 64400

Injection Aa&/Strd Trigeminal Nerve Each Branch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.59 / $988.00 / $6,977.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$0.56 / $0.57 / $419.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.44 / $93.28 / $148.35
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$54.53 / $150.36 / $163.58
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.95 / $145.77 / $188.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.63 / $77.86 / $323.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.45 / $111.21 / $217.45
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.00 / $2,394.00 / $4,241.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.55 / $99.66 / $129.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.52 / $107.08 / $164.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$351.00 / $1,986.00 / $5,259.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.38 / $114.28 / $201.29
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.09 / $86.04 / $86.04