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Ohio rates for HCPCS 64400

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

Facilitymedian $1,288 · 10th–90th $85$7,0790%5%10th90th$1,288Professionalmedian $98 · 10th–90th $50$1950%10%20%10th90th$98$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$83.18 / $1,202.26 / $8,912.51
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$724.44 / $724.44 / $724.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $107.15 / $223.87
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$346.74 / $346.74 / $346.74
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $46.77 / $93.33
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $2,137.96 / $3,981.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $64.57 / $107.15
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$72.44 / $95.50 / $158.49
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $63.10 / $83.18
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $138.04 / $239.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $77.62 / $21,379.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $107.15 / $204.17
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $912.01 / $21,379.62
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $107.15 / $194.98
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $32.36 / $33.11
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $186.21
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $114.82 / $181.97
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $891.25 / $2,951.21
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $87.10 / $162.18