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Pennsylvania rates for HCPCS 64610

Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $2,691.53 / $8,317.64
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $4,466.84 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $4,570.88 / $5,248.07
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $2,344.23 / $7,762.47
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $1,698.24
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $446.68 / $758.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $3,311.31 / $6,309.57