go back

Vermont rates for HCPCS 64400

Injection Aa&/Strd Trigeminal Nerve Each Branch

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.85 / $72.64 / $129.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.97 / $442.15 / $996.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.74 / $176.50 / $405.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.08 / $119.03 / $240.67
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.03 / $146.74 / $240.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.01 / $151.16 / $439.43