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Idaho rates for HCPCS 64600

Dstrj Trigeminal Nrv Supraorb Infraorb Branch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,407.00 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.72 / $550.54 / $1,122.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$573.77 / $573.77 / $575.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.39 / $438.29 / $785.15
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.69 / $550.54 / $1,178.98
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.09 / $766.95 / $929.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $735.53 / $819.59
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.11 / $2,326.44 / $3,453.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.50 / $535.29 / $963.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $2,620.00 / $4,441.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.94 / $637.00 / $879.06