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Florida 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
$112.20 / $1,122.02 / $6,456.54
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$0.56 / $0.58 / $645.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $109.65 / $234.42
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$54.95 / $162.18 / $467.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $70.79 / $162.18
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$70.79 / $70.79 / $131.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $77.62 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $112.20 / $218.78
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $2,454.71 / $4,168.69
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $95.50 / $141.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $40.74 / $154.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $1,584.89 / $4,168.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $89.13 / $169.82
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $85.11 / $125.89