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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
$1,737.80 / $6,025.60 / $16,982.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $630.96 / $2,454.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $4,466.84 / $12,022.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $446.68 / $1,071.52
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $1,445.44 / $5,754.40
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $660.69 / $1,318.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $645.65 / $1,288.25
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $512.86 / $1,698.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $1,047.13 / $2,041.74
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $5,248.07 / $19,498.45
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,309.57 / $7,762.47 / $7,762.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $1,258.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $645.65 / $1,548.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $676.08 / $1,479.11
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,148.15 / $2,041.74
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $302.00 / $1,202.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $7,585.78 / $15,135.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $537.03 / $1,148.15