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Tennessee rates for HCPCS 64505

Injection, anesthetic agent; sphenopalatine ganglion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.91 / $2,011.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.71 / $121.66 / $186.74
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$573.92 / $573.92 / $606.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.00 / $1,500.00 / $2,244.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.61 / $135.75 / $223.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.90 / $144.61 / $231.57
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $526.91 / $526.91
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.00 / $1,030.72 / $1,254.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $808.00 / $2,577.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.82 / $137.16 / $265.75