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Nebraska 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
$91.20 / $3,548.13 / $10,964.78
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,202.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $117.49 / $309.03
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$104.71 / $223.87 / $467.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $58.88 / $87.10
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$46.77 / $97.72 / $131.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $933.25 / $1,819.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $91.20 / $138.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $154.88 / $213.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $114.82 / $436.52
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$338.84 / $354.81 / $912.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $147.91 / $1,148.15
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $162.18 / $229.09
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $162.18 / $234.42
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $93.33 / $169.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $1,230.27 / $4,466.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $112.20 / $177.83