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New York rates for HCPCS 64400

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

Facilitymedian $2,818 · 10th–90th $105$7,4130%5%10%10th90th$2,818Professionalmedian $129 · 10th–90th $58$3310%10%10th90th$129$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
$93.33 / $2,344.23 / $7,413.10
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$977.24 / $2,398.83 / $2,398.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $112.20 / $257.04
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$54.95 / $331.13 / $467.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,630.78 / $5,011.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $131.83 / $323.59
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$158.49 / $194.98 / $478.63
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $4,073.80
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $158.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $87.10 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $147.91 / $436.52
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $104.71 / $186.21
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $199.53 / $281.84
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $102.33 / $102.33
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $141.25 / $239.88
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $501.19 / $630.96
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $190.55 / $398.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $2,398.83 / $4,897.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $138.04 / $446.68
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $58.88 / $288.40
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $131.83 / $269.15