go back

South Carolina 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
$758.58 / $7,762.47 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $562.34 / $912.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $3,548.13 / $6,918.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $501.19 / $1,148.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $575.44 / $1,513.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $676.08 / $1,348.96
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $954.99 / $1,548.82
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $660.69 / $1,288.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $10,964.78 / $16,982.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $524.81 / $933.25