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Kansas 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
$84.06 / $1,361.00 / $8,101.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.04 / $92.84 / $180.27
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.12 / $64.12 / $64.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.00 / $330.58 / $487.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.75 / $95.00 / $180.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.00 / $330.00 / $330.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.46 / $126.04 / $219.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.06 / $129.44 / $390.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.62 / $146.94 / $1,030.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.00 / $526.00 / $1,907.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.09 / $131.10 / $189.39