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Louisiana rates for HCPCS 64505

Injection, anesthetic agent; sphenopalatine ganglion

Facilitymedian $1,148 · 10th–90th $200–$3,4670%5%10%10th90th$1,148Professionalmedian $135 · 10th–90th $91–$2510%10%10th90th$135$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $1,288.25 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $134.90 / $251.19
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$575.44 / $575.44 / $602.56
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $426.58 / $645.65
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $151.36 / $223.87
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $177.83 / $177.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $426.58 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $154.88 / $223.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $501.19 / $1,258.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $117.49 / $218.78