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Oklahoma rates for HCPCS 64505

Injection Anes Agent Sphenopalatine Ganglion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.25 / $3,441.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.17 / $102.22 / $125.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.79 / $1,783.71 / $2,818.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.01 / $135.41 / $181.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.66 / $137.66 / $137.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.48 / $130.50 / $186.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.87 / $137.77 / $940.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.20 / $130.63 / $1,058.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.83 / $610.00 / $1,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.24 / $119.05 / $181.59