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Indiana 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
$645.65 / $3,801.89 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $588.84 / $1,000.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $8,317.64 / $10,471.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $323.59 / $537.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $407.38 / $457.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $660.69 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $616.60 / $1,122.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $6,025.60 / $10,715.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $549.54 / $933.25