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Colorado rates for HCPCS 64505

Injection, anesthetic agent; sphenopalatine ganglion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.07 / $3,349.00 / $9,872.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.00 / $104.45 / $186.47
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$517.23 / $517.23 / $517.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,974.00 / $2,971.00 / $7,022.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.51 / $144.33 / $233.25
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$110.10 / $113.68 / $201.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.30 / $122.30 / $385.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.92 / $147.84 / $233.28
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.71 / $136.09 / $216.73
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.12 / $180.88 / $265.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.00 / $1,491.00 / $2,720.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.33 / $165.91 / $354.85