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Montana rates for HCPCS 64405

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

Facilitymedian $129 · 10th–90th $89$5250%20%10th90th$129Professionalmedian $120 · 10th–90th $68$2400%10%10th90th$120$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$524.81 / $524.81 / $524.81
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$501.19 / $501.19 / $2,187.76
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $107.15 / $223.87
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$125.89 / $169.82 / $489.78
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46,773.51 / $75,857.76 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $83.18 / $120.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $83.18 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $97.72 / $134.90
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $128.82 / $162.18
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $128.82 / $162.18
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $109.65 / $194.98
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $102.33 / $154.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $107.15 / $165.96