go back

New York 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
$86.69 / $2,626.00 / $7,185.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$421.89 / $1,717.28 / $5,088.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.79 / $97.10 / $213.27
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$98.51 / $159.18 / $462.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $3,373.00 / $4,707.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.26 / $87.97 / $223.26
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$104.97 / $131.94 / $335.97
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.94 / $74.94 / $4,050.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.94 / $74.94 / $104.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.34 / $90.34 / $90.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.68 / $116.33 / $319.54
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.07 / $89.32 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.16 / $116.14 / $201.90
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.69 / $69.69 / $69.69
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.89 / $92.10 / $158.13
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,163.20 / $1,163.20 / $1,163.20
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,399.76 / $3,399.76 / $3,399.76
Highmark BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$137.36 / $137.36 / $138.87
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.34 / $555.00 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.86 / $121.01 / $324.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,252.00 / $2,671.00 / $4,715.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.48 / $105.71 / $233.81
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.60 / $60.60 / $334.74
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.69 / $95.56 / $158.13