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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)

Facilitymedian $676 · 10th–90th $69$5,8880%5%10th90th$676Professionalmedian $105 · 10th–90th $48$2240%10%10th90th$105$50.0$200.0$1.0K$5.0K$20.0K

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
$58.88 / $302.00 / $1,288.25
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$812.83 / $812.83 / $812.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $104.71 / $239.88
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$41.69 / $162.18 / $446.68
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $60.26 / $114.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $4,466.84 / $8,709.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $72.44 / $114.82
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$79.43 / $107.15 / $169.82
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $57.54 / $67.61
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $128.82 / $144.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $89.13 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $112.20 / $229.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $2,137.96 / $7,413.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $93.33 / $169.82