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West Virginia 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
$320.80 / $676.62 / $1,293.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.82 / $567.66 / $1,004.62
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.66 / $570.90 / $785.99
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.66 / $507.47 / $507.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.87 / $724.87 / $724.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.25 / $798.50 / $1,995.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.30 / $774.36 / $1,131.52