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Alabama rates for HCPCS 64505

Injection, anesthetic agent; sphenopalatine ganglion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,445.44 / $1,862.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $141.25 / $316.23
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$309.03 / $562.34 / $602.56
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $91.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $707.95 / $977.24
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$891.25 / $1,071.52 / $1,445.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $131.83 / $181.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $141.25 / $302.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $562.34 / $1,548.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $112.20 / $199.53