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Missouri 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
$54.74 / $1,437.00 / $5,691.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$409.00 / $1,263.54 / $5,389.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.74 / $75.77 / $297.56
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$75.68 / $167.88 / $630.17
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$111.91 / $111.91 / $111.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.50 / $83.88 / $127.32
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$86.25 / $126.77 / $190.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.01 / $94.67 / $165.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.95 / $99.89 / $815.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.70 / $144.86 / $1,157.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.00 / $718.00 / $1,667.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.77 / $116.39 / $177.54