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Washington, DC rates for HCPCS 64505

Injection, anesthetic agent; sphenopalatine ganglion

Facilitymedian $2,754 · 10th–90th $151$4,0740%10%20%10th90th$2,754Professionalmedian $135 · 10th–90th $87$3090%10%10th90th$135$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $2,754.23 / $4,073.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $125.89 / $288.40
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$309.03 / $575.44 / $602.56
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $295.12 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $138.04 / $323.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $239.88 / $338.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $549.54 / $1,737.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $138.04 / $309.03