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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)

Facilitymedian $550 · 10th–90th $100$1,4130%10%20%10th90th$550Professionalmedian $132 · 10th–90th $62$2750%5%10%10th90th$132$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $575.44 / $1,513.56
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$436.52 / $562.34 / $562.34
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $123.03 / $269.15
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$131.83 / $275.42 / $933.25
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $363.08 / $776.25
BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$204.17 / $489.78 / $1,148.15
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $147.91 / $218.78
BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$138.04 / $263.03 / $323.59
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $93.33 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $120.23 / $190.55
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $147.91 / $562.34
Moda Health
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$562.34 / $562.34 / $562.34
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $141.25 / $251.19
Moda Health
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$131.83 / $275.42 / $933.25
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $660.69 / $954.99
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$794.33 / $1,096.48 / $1,412.54
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $141.25 / $234.42
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $112.20 / $467.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $1,819.70 / $9,332.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $114.82 / $208.93