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Alaska rates for HCPCS 64505

Injection, anesthetic agent; sphenopalatine ganglion

Facilitymedian $195 · 10th–90th $95–$9120%5%10%10th90th$195Professionalmedian $148 · 10th–90th $91–$4900%10%10th90th$148$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $5,888.44 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $138.04 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $147.91 / $398.11
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $194.98 / $645.65
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $371.54 / $691.83
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $575.44 / $630.96
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $186.21 / $645.65
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $158.49 / $323.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $323.59 / $794.33