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Minnesota rates for HCPCS 64505

Injection, anesthetic agent; sphenopalatine ganglion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.04 / $140.55 / $2,042.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.71 / $126.57 / $200.47
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$517.23 / $517.23 / $517.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.01 / $504.98 / $1,052.56
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$675.36 / $1,024.66 / $1,796.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.49 / $330.00 / $512.64
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$290.33 / $479.22 / $745.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$351.88 / $499.27 / $1,201.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.36 / $356.09 / $602.83
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.89 / $456.46 / $945.73
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.40 / $325.23 / $549.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.04 / $200.47 / $389.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.56 / $256.19 / $876.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.00 / $1,727.00 / $2,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.31 / $283.11 / $502.40