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Nebraska 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
$593.76 / $3,908.01 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.55 / $593.76 / $1,832.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,973.60 / $6,541.64 / $12,653.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.70 / $800.54 / $1,631.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,387.40 / $1,387.40 / $1,387.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.36 / $1,120.93 / $2,005.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.69 / $717.87 / $1,967.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.36 / $1,284.80 / $3,619.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.53 / $1,387.40 / $2,005.37
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.64 / $1,073.08 / $1,687.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $6,451.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.36 / $1,284.80 / $1,533.68