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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
$524.00 / $2,128.00 / $7,513.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.82 / $568.46 / $948.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,530.22 / $2,699.38 / $5,381.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.61 / $594.59 / $920.18
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.08 / $2,288.87 / $2,288.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.87 / $724.87 / $724.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.45 / $687.95 / $1,173.23
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,967.94 / $11,500.00 / $12,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,557.39 / $6,251.76 / $7,722.75
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.20 / $646.36 / $1,115.96
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.65 / $1,017.61 / $1,613.61
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.60 / $945.50 / $2,000.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.62 / $650.04 / $1,120.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.26 / $719.70 / $1,239.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.00 / $3,326.00 / $7,600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.34 / $675.28 / $1,061.58
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.41 / $829.05 / $1,167.24