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Connecticut rates for HCPCS 64505

Injection Anes Agent Sphenopalatine Ganglion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.14 / $4,305.00 / $8,031.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$835.76 / $835.76 / $835.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.43 / $126.57 / $246.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,410.00 / $6,763.00 / $10,432.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.23 / $170.07 / $226.89
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$158.83 / $255.10 / $340.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.96 / $233.96 / $550.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.95 / $178.92 / $318.44
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,340.80 / $1,643.00 / $1,677.00
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.35 / $141.69 / $182.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.00 / $3,075.00 / $6,664.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.87 / $195.57 / $407.52