go back

California 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
$728.24 / $4,932.00 / $16,850.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.82 / $627.91 / $2,036.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,723.00 / $4,597.00 / $9,381.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.81 / $425.08 / $808.57
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $5,142.12
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.96 / $616.87 / $1,170.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,487.00 / $1,816.42 / $3,253.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.42 / $632.96 / $1,288.31
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.97 / $509.77 / $1,317.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.15 / $918.76 / $1,649.68
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,967.94 / $2,074.04 / $12,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,557.39 / $6,251.76 / $7,722.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.65 / $624.40 / $1,329.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.36 / $686.47 / $1,509.97
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,137.21 / $1,137.21 / $2,054.44
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.56 / $419.72 / $1,218.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,523.00 / $7,359.00 / $15,471.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.20 / $624.97 / $1,363.80