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Alaska rates for HCPCS 64605

Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,776.43 / $6,541.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.44 / $1,682.17 / $2,934.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.00 / $1,493.97 / $2,799.58
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$403.00 / $1,682.17 / $4,108.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,051.25 / $2,275.00 / $5,229.89
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,261.25 / $2,111.25 / $3,752.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$434.88 / $1,850.39 / $4,108.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$857.79 / $2,042.00 / $3,571.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,379.16 / $1,671.14 / $3,545.59