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New Jersey rates for HCPCS 64400

Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular)

Facilitymedian $3,548 · 10th–90th $200–$10,0000%10%10th90th$3,548Professionalmedian $112 · 10th–90th $48–$3160%10%10th90th$112$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $3,981.07 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $112.20 / $275.42
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$165.96 / $363.08 / $831.76
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $46.77
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $5,495.41 / $8,709.64
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $128.82 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $131.83 / $354.81
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $154.88 / $213.80
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $954.99 / $1,513.56
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $114.82 / $371.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $2,630.27 / $6,606.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $97.72 / $234.42