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Tennessee rates for HCPCS 64400

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.09 / $1,367.00 / $6,681.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.39 / $97.58 / $155.66
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$830.88 / $830.88 / $830.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.49 / $120.49 / $136.88
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$180.74 / $180.74 / $180.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.00 / $1,480.00 / $2,244.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.09 / $106.03 / $191.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.28 / $117.82 / $207.57
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $254.27 / $254.27
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.00 / $1,030.00 / $1,030.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.00 / $794.00 / $2,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.56 / $139.51 / $232.42