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Washington, DC rates for HCPCS 64505

Injection, anesthetic agent; sphenopalatine ganglion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $2,754.23 / $4,073.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $123.03 / $288.40
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$575.44 / $575.44 / $602.56
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $165.96 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $154.88 / $346.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $239.88 / $338.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $549.54 / $1,737.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $144.54 / $295.12