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Wisconsin rates for HCPCS 64505

Injection, anesthetic agent; sphenopalatine ganglion

Facilitymedian $2,818 · 10th–90th $151$5,3700%10%10th90th$2,818Professionalmedian $182 · 10th–90th $95$4790%5%10%10th90th$182$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $208.93 / $1,905.46
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $138.04 / $302.00
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$309.03 / $575.44 / $602.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $3,090.30 / $5,754.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $194.98 / $457.09
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$169.82 / $288.40 / $691.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $436.52 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $331.13 / $602.56
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $154.88 / $3,162.28
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $275.42 / $380.19
DeanCare
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$281.84 / $407.38 / $562.34
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $165.96 / $1,584.89
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $239.88 / $1,047.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $112.20
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $891.25 / $2,344.23
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $251.19 / $588.84
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $323.59 / $489.78
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $331.13 / $1,288.25
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $602.56 / $1,023.29
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $346.74 / $489.78
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $588.84 / $831.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,584.89 / $2,187.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $165.96 / $446.68