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Michigan 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
$812.83 / $2,884.03 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $562.34 / $954.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $977.24 / $977.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $977.24 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $645.65 / $1,148.15
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $2,041.74 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $691.83 / $1,348.96
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $588.84 / $1,122.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $3,981.07 / $7,244.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $575.44 / $891.25