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Michigan rates for HCPCS 64505

Injection, anesthetic agent; sphenopalatine ganglion

Facilitymedian $2,042 · 10th–90th $174–$4,8980%20%10th90th$2,042Professionalmedian $138 · 10th–90th $91–$3390%10%10th90th$138$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
$173.78 / $2,041.74 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $131.83 / $263.03
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$524.81 / $575.44 / $831.76
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $239.88 / $239.88
BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$218.78 / $346.74 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $128.82 / $218.78
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $2,041.74 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $144.54 / $288.40
Health Alliance Plan
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$524.81 / $537.03 / $575.44
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $125.89 / $208.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $812.83 / $1,698.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $114.82 / $165.96