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New York 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
$532.34 / $2,842.00 / $9,661.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.41 / $596.97 / $1,171.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,385.00 / $4,133.00 / $9,074.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.14 / $565.36 / $1,445.72
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.88 / $1,254.00 / $4,050.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.88 / $491.88 / $915.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.87 / $724.87 / $724.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.56 / $829.94 / $2,084.78
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.00 / $332.00 / $1,199.39
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$950.70 / $1,347.56 / $2,064.12
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$816.40 / $816.40 / $816.40
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.63 / $882.37 / $1,793.85
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,641.12 / $9,641.12 / $9,641.12
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $36,596.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.78 / $905.33 / $2,366.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,031.00 / $4,840.00 / $9,416.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.13 / $898.98 / $1,987.19
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$486.61 / $486.61 / $1,517.68
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.63 / $1,065.16 / $1,821.09