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Rhode Island rates for HCPCS 64400

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

Facilitymedian $1,230 · 10th–90th $575–$3,9810%20%10th90th$1,230Professionalmedian $117 · 10th–90th $50–$3160%5%10%10th90th$117$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $676.08 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $114.82 / $302.00
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$165.96 / $446.68 / $467.74
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $104.71 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $138.04 / $229.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $1,230.27 / $5,128.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $107.15 / $239.88