go back

Louisiana rates for HCPCS 64505

Injection, anesthetic agent; sphenopalatine ganglion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $1,288.25 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $131.83 / $263.03
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$575.44 / $575.44 / $602.56
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $426.58 / $645.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $151.36 / $223.87
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $177.83 / $177.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $147.91 / $223.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $501.19 / $1,202.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $117.49 / $218.78