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Delaware rates for HCPCS 64505

Injection, anesthetic agent; sphenopalatine ganglion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,140.00 / $3,140.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.00 / $102.22 / $212.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.69 / $93.69 / $93.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.23 / $118.29 / $188.29
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$422.68 / $422.68 / $422.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.00 / $143.00 / $143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.39 / $120.84 / $286.97