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Florida rates for HCPCS 64505

Injection Anes Agent Sphenopalatine Ganglion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.99 / $2,747.00 / $10,632.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$0.57 / $0.57 / $5,034.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.37 / $102.95 / $164.73
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$309.32 / $309.32 / $309.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.93 / $85.28 / $323.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.23 / $140.47 / $220.33
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.00 / $2,394.00 / $4,241.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.79 / $106.08 / $159.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.94 / $142.70 / $221.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.00 / $1,950.00 / $5,107.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.59 / $117.35 / $226.79
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.96 / $112.09 / $112.09