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Rhode Island rates for HCPCS 64505

Injection Anes Agent Sphenopalatine Ganglion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,518.41 / $1,543.03 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.71 / $117.61 / $172.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.43 / $153.56 / $220.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.95 / $174.58 / $246.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $1,401.00 / $4,915.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.44 / $165.30 / $272.81