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Texas 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
$630.96 / $2,454.71 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $602.56 / $1,148.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $2,754.23 / $5,370.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $724.44 / $1,122.02
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $2,290.87 / $2,290.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $691.83 / $1,174.90
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $19,498.45 / $19,498.45
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,309.57 / $7,762.47 / $7,762.47
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $741.31 / $2,187.76
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $645.65 / $1,905.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $758.58
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $1,513.56 / $3,981.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $660.69 / $1,318.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $691.83 / $1,202.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $4,073.80 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $524.81 / $912.01
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,122.02 / $1,122.02