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Idaho 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
$141.53 / $525.84 / $685.78
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$436.80 / $436.80 / $556.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.67 / $116.21 / $270.58
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$54.53 / $163.58 / $927.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.59 / $93.59 / $93.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.72 / $124.81 / $194.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.46 / $136.01 / $294.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.79 / $179.87 / $218.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $152.16 / $191.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$506.67 / $724.18 / $906.75
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$744.20 / $1,086.27 / $1,399.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.81 / $114.81 / $231.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $1,800.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.90 / $161.65 / $227.98