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North Dakota 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
$48.62 / $684.00 / $684.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.62 / $99.76 / $122.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.23 / $133.59 / $283.50
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$154.85 / $248.70 / $423.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.03 / $159.32 / $351.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.62 / $106.73 / $239.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.07 / $227.77 / $804.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,978.00 / $1,978.00 / $1,978.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.07 / $212.88 / $253.08