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Wyoming rates for HCPCS 64405

Injection Aa&/Strd Greater Occipital Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$765.70 / $2,432.69 / $2,432.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.67 / $73.59 / $1,620.81
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$158.75 / $1,619.26 / $1,619.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.00 / $316.00 / $316.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.00 / $152.00 / $245.00
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$159.00 / $256.50 / $367.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.53 / $129.82 / $231.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.00 / $293.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.93 / $145.68 / $370.51