go back

West Virginia 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
$109.15 / $701.24 / $1,452.30
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$543.42 / $543.42 / $543.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.43 / $100.93 / $151.50
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$150.77 / $150.77 / $150.77
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.32 / $60.38 / $83.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.83 / $160.82 / $233.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.90 / $87.90 / $87.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.33 / $115.36 / $244.76
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$429.85 / $698.28 / $1,186.59
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,396.55 / $1,396.55 / $1,396.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.00 / $460.00 / $460.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.59 / $136.55 / $179.95