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Kentucky rates for HCPCS 64505

Injection, anesthetic agent; sphenopalatine ganglion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.17 / $163.60 / $3,740.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.17 / $103.19 / $163.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,013.00 / $8,584.00 / $11,253.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.39 / $74.97 / $118.35
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$93.58 / $112.45 / $177.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.17 / $135.69 / $169.63
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.05 / $136.66 / $229.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.35 / $178.35 / $202.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.85 / $140.06 / $217.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $38.75 / $143.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $668.00 / $3,176.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.51 / $139.78 / $218.98