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Missouri rates for HCPCS 64505

Injection, anesthetic agent; sphenopalatine ganglion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.91 / $2,507.00 / $7,365.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$623.55 / $987.93 / $987.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.50 / $121.66 / $251.06
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$550.19 / $550.19 / $550.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.45 / $106.36 / $166.11
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$123.67 / $159.55 / $249.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.56 / $147.66 / $239.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.50 / $150.54 / $485.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.05 / $208.99 / $1,058.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $815.00 / $1,351.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.87 / $164.97 / $276.32