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Washington 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
$112.20 / $1,000.00 / $7,943.28
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$660.69 / $707.95 / $1,122.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $112.20 / $331.13
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$54.95 / $275.42 / $831.76
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $467.74 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $134.90 / $302.00
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $144.54 / $288.40
Kaiser Permanente
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$676.08 / $1,174.90 / $2,137.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $141.25 / $275.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $60.26
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $218.78 / $239.88
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $154.88 / $154.88
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $154.88 / $281.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $831.76 / $1,621.81
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$851.14 / $1,258.93 / $2,398.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $138.04 / $263.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $1,071.52 / $2,454.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $128.82 / $257.04
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $89.13 / $177.83