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Wyoming rates for HCPCS 64400

Injection Aa&/Strd Trigeminal Nerve Each Branch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.97 / $191.97 / $539.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.34 / $73.45 / $150.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.00 / $316.00 / $316.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.00 / $167.00 / $370.00
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$156.00 / $300.00 / $555.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.61 / $166.47 / $294.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.00 / $293.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.44 / $215.80 / $373.12