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Idaho rates for HCPCS 64505

Injection, anesthetic agent; sphenopalatine ganglion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,407.00 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.93 / $140.55 / $340.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.51 / $102.51 / $102.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.54 / $165.76 / $227.18
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.54 / $182.90 / $357.20
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.32 / $234.30 / $284.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $197.39 / $248.33
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$506.67 / $724.18 / $906.75
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$744.20 / $1,086.27 / $1,399.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.59 / $237.58 / $296.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $1,800.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.04 / $170.13 / $242.53