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Arizona rates for HCPCS 64505

Injection Anes Agent Sphenopalatine Ganglion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,162.00 / $2,640.00 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.37 / $103.87 / $240.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.66 / $525.76 / $859.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.78 / $93.48 / $115.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.55 / $126.64 / $213.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.66 / $139.68 / $1,053.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.40 / $136.41 / $1,058.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.00 / $1,535.00 / $2,175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.40 / $119.46 / $245.81