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West Virginia rates for HCPCS 64505

Injection, anesthetic agent; sphenopalatine ganglion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.43 / $127.29 / $215.07
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$411.82 / $411.82 / $1,966.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.53 / $127.29 / $172.64
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$205.32 / $205.32 / $205.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.82 / $137.05 / $188.68
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.84 / $121.82 / $121.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.35 / $178.35 / $178.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.11 / $152.27 / $287.39
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$788.68 / $788.68 / $788.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.86 / $126.31 / $208.96