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Oklahoma rates for HCPCS 64400

Injection Aa&/Strd Trigeminal Nerve Each Branch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.69 / $2,445.00 / $6,435.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.47 / $98.34 / $111.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,143.61 / $1,793.27 / $2,797.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.96 / $105.35 / $144.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.68 / $125.68 / $125.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.80 / $118.45 / $177.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.21 / $108.19 / $940.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.56 / $129.88 / $1,030.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.00 / $678.00 / $1,582.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.06 / $113.82 / $157.19