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Illinois rates for HCPCS 64505

Injection Anes Agent Sphenopalatine Ganglion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.85 / $1,043.21 / $4,634.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$592.55 / $987.93 / $1,809.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.43 / $126.98 / $240.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.17 / $1,120.18 / $2,443.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.88 / $182.15 / $266.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.15 / $185.49 / $480.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.35 / $169.73 / $252.94
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.82 / $219.97 / $428.25
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.37 / $173.62 / $204.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $230.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $891.00 / $3,685.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.51 / $157.56 / $270.20