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Tennessee 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
$582.00 / $2,011.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.82 / $555.55 / $842.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,530.00 / $2,676.00 / $3,681.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.77 / $620.41 / $1,066.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.35 / $677.85 / $1,123.22
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,967.94 / $2,074.04 / $12,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,557.39 / $6,251.76 / $7,722.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,794.00 / $3,626.00 / $6,291.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.36 / $707.43 / $1,309.19