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Missouri 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
$61.70 / $463.00 / $5,493.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$409.00 / $5,283.00 / $5,283.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.27 / $93.28 / $216.82
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$54.53 / $276.95 / $927.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.48 / $74.45 / $112.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.00 / $82.55 / $110.34
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$96.00 / $123.82 / $165.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.69 / $122.54 / $210.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.04 / $110.64 / $395.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.85 / $192.22 / $1,030.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.00 / $718.00 / $1,667.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.57 / $157.38 / $239.98