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Texas 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
$645.65 / $2,511.89 / $7,244.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $2,630.27 / $5,248.07
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $2,818.38 / $2,818.38
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $19,498.45 / $19,498.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $851.14 / $2,137.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $794.33 / $1,348.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $4,073.80 / $8,912.51