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Rhode Island rates for HCPCS 64400

Injection Aa&/Strd Trigeminal Nerve Each Branch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$671.28 / $671.28 / $3,706.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.99 / $102.02 / $211.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.32 / $118.61 / $181.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.30 / $146.04 / $220.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.00 / $1,199.00 / $4,915.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.39 / $152.58 / $248.03