go back

North Dakota rates for HCPCS 64405

Injection Aa&/Strd Greater Occipital Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.04 / $70.80 / $2,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.04 / $77.06 / $122.72
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$73.59 / $278.00 / $371.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.55 / $135.30 / $188.16
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$156.83 / $202.95 / $282.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.56 / $130.90 / $226.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.04 / $84.65 / $158.69
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,223.33 / $1,231.14 / $1,446.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.18 / $152.81 / $199.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,978.00 / $1,978.00 / $1,978.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.70 / $141.94 / $186.93