go back

Indiana rates for HCPCS 64600

Dstrj Trigeminal Nrv Supraorb Infraorb Branch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.21 / $547.95 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.09 / $317.01 / $513.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,636.00 / $3,677.00 / $5,445.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.09 / $150.19 / $216.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.34 / $278.64 / $582.47
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.49 / $510.59 / $638.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.52 / $640.52 / $759.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.78 / $454.62 / $758.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,638.00 / $3,267.00 / $4,271.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.10 / $473.57 / $781.63