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North Dakota rates for HCPCS 64505

Injection Anes Agent Sphenopalatine Ganglion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.49 / $125.44 / $2,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.47 / $99.04 / $165.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.06 / $273.14 / $362.24
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$316.58 / $408.36 / $543.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.60 / $266.39 / $441.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.49 / $129.79 / $244.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.63 / $210.52 / $876.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.63 / $230.12 / $330.74