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Arkansas rates for HCPCS 64505

Injection, anesthetic agent; sphenopalatine ganglion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.89 / $803.00 / $2,812.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.00 / $116.02 / $154.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$276.52 / $276.52 / $331.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.46 / $159.49 / $211.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.91 / $257.91 / $257.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.36 / $163.15 / $223.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.00 / $328.00 / $768.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.84 / $139.85 / $248.65