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Kentucky 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
$49.95 / $416.00 / $2,747.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.07 / $98.24 / $161.61
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$54.53 / $163.58 / $927.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.60 / $40.60 / $40.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,013.00 / $8,584.00 / $11,253.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.09 / $55.41 / $91.13
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$70.64 / $83.11 / $136.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.77 / $64.48 / $78.91
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $117.61 / $152.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.90 / $87.90 / $201.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.95 / $129.01 / $233.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.84 / $32.34 / $108.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $668.00 / $3,176.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.28 / $137.63 / $184.73