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Alaska rates for HCPCS 64405

Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.04 / $4,806.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.06 / $253.35 / $458.04
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$278.00 / $278.00 / $278.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.16 / $180.09 / $319.67
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.17 / $253.35 / $485.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.58 / $220.29 / $442.65
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.75 / $306.45 / $556.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.17 / $278.69 / $485.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.58 / $295.23 / $556.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.04 / $280.66 / $423.24