go back

Kansas rates for HCPCS 64505

Injection, anesthetic agent; sphenopalatine ganglion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,361.00 / $3,506.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.75 / $142.21 / $230.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.00 / $463.51 / $983.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.92 / $136.38 / $171.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.00 / $330.00 / $330.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.50 / $145.38 / $225.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.43 / $156.19 / $403.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.47 / $156.11 / $1,058.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.00 / $550.00 / $1,769.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.88 / $141.94 / $206.83