go back

West Virginia 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
$671.16 / $793.36 / $907.10
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,199.52 / $1,814.20 / $1,955.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.12 / $78.98 / $119.98
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$74.51 / $176.03 / $241.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.88 / $62.26 / $85.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.39 / $113.34 / $164.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.34 / $90.34 / $90.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.41 / $103.59 / $247.89
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.19 / $680.00 / $1,063.06
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$589.75 / $1,546.18 / $1,861.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.00 / $460.00 / $460.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.46 / $112.20 / $169.92