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Virginia 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
$812.00 / $2,190.00 / $6,827.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.00 / $420.00 / $819.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.34 / $933.49 / $1,103.22
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$497.09 / $847.47 / $1,330.98
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.51 / $625.12 / $2,056.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,651.00 / $6,870.00 / $12,739.00