go back

Maryland 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
$339.19 / $339.19 / $339.19
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$85.08 / $85.08 / $3,244.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.58 / $103.09 / $256.82
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$41.85 / $555.80 / $830.88
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.53 / $60.34 / $79.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.59 / $73.59 / $330.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.20 / $112.76 / $231.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.67 / $151.79 / $202.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.00 / $41.00 / $104.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $120.02 / $216.94
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.20 / $135.32 / $165.54