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Idaho 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
$1,412.54 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $630.96 / $1,047.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $2,570.40 / $5,011.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,047.13 / $1,698.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,122.02 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $616.60 / $1,096.48
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $812.83 / $1,584.89
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,071.52 / $2,089.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $4,365.16 / $6,309.57
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $891.25 / $1,548.82
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $1,000.00 / $3,162.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $5,495.41 / $12,302.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $676.08 / $1,122.02