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West Virginia rates for HCPCS 64400

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

Facilitymedian $708 · 10th–90th $100–$1,2020%10%20%10th90th$708Professionalmedian $102 · 10th–90th $46–$1950%10%10th90th$102$50.0$100.0$200.0$500.0$1.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $707.95 / $1,445.44
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$549.54 / $549.54 / $549.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $102.33 / $194.98
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $64.57 / $91.20
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $213.80 / $245.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $87.10 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $120.23 / $870.96
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $831.76 / $1,202.26
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $75.86
Highmark BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$165.96 / $165.96 / $165.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $457.09 / $851.14
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $89.13 / $169.82