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Washington rates for HCPCS 64405

Injection Aa&/Strd Greater Occipital Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.61 / $645.90 / $7,984.74
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$82.58 / $881.08 / $1,853.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.31 / $100.34 / $268.70
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$143.03 / $247.64 / $778.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.29 / $136.29 / $164.97
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$75.14 / $146.86 / $247.46
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.74 / $839.35 / $4,090.18
Asuris Northwest Health
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$961.70 / $1,273.67 / $2,435.71
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.20 / $137.47 / $1,157.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$149.52 / $154.31 / $367.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.03 / $500.00 / $568.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.94 / $131.18 / $213.61
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.20 / $133.60 / $250.00
Kaiser Permanente
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$813.82 / $976.01 / $2,113.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.20 / $131.19 / $230.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.21 / $101.08 / $178.26
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.57 / $145.79 / $191.62
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.35 / $101.47 / $103.74
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.55 / $130.86 / $186.70
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.13 / $839.35 / $1,605.58
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$961.70 / $1,259.03 / $2,408.37
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.54 / $120.91 / $180.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.00 / $648.00 / $5,793.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.67 / $143.00 / $216.28
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.75 / $62.67 / $81.59