go back

Georgia rates for HCPCS 64505

Injection, anesthetic agent; sphenopalatine ganglion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.94 / $2,987.00 / $6,915.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$623.75 / $623.75 / $623.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.00 / $134.13 / $258.08
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$573.92 / $573.92 / $606.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$734.14 / $2,139.92 / $4,143.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.33 / $142.32 / $276.47
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$150.50 / $213.48 / $413.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.65 / $221.84 / $319.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.48 / $178.35 / $640.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.46 / $159.97 / $318.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.84 / $172.03 / $414.61
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.59 / $183.17 / $261.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.00 / $1,550.00 / $2,665.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.21 / $160.53 / $333.37