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Indiana 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
$54.91 / $394.40 / $3,500.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$812.78 / $812.78 / $812.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.76 / $97.58 / $158.29
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$54.53 / $54.53 / $163.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$740.96 / $4,119.97 / $8,230.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.50 / $68.59 / $96.94
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$72.76 / $102.90 / $145.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.75 / $61.76 / $96.08
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.43 / $119.32 / $156.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.48 / $104.48 / $123.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.08 / $112.20 / $228.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$866.00 / $2,291.00 / $4,426.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.36 / $120.86 / $203.63