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Massachusetts rates for HCPCS 64505

Injection Anes Agent Sphenopalatine Ganglion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.47 / $2,079.00 / $3,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.18 / $110.47 / $200.47
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$313.11 / $313.11 / $313.11
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.34 / $536.38 / $2,713.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.60 / $235.25 / $1,030.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.65 / $160.18 / $285.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.24 / $199.12 / $772.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.31 / $208.72 / $375.94
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.89 / $268.82 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.82 / $203.15 / $280.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.86 / $287.33 / $447.83
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,125.08 / $3,125.08 / $3,125.08
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.00 / $213.00 / $213.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $966.90 / $3,445.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.01 / $263.49 / $1,030.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $2,733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.63 / $223.06 / $432.17