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Oklahoma 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
$625.00 / $3,578.00 / $7,500.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$735.70 / $4,931.25 / $4,931.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.15 / $66.44 / $105.98
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$528.00 / $528.00 / $528.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,143.61 / $1,793.27 / $2,797.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $72.37 / $97.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.87 / $57.87 / $57.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.36 / $97.89 / $162.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.52 / $93.82 / $1,130.00
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$730.76 / $730.76 / $730.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.50 / $102.00 / $1,157.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.40 / $678.00 / $1,582.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.01 / $93.39 / $130.05