go back

Wyoming rates for HCPCS 64505

Injection, anesthetic agent; sphenopalatine ganglion

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.54 / $126.57 / $176.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.00 / $316.00 / $316.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.00 / $293.00 / $472.00
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$319.50 / $514.50 / $708.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.26 / $210.06 / $368.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.00 / $293.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.48 / $252.14 / $391.92