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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
$812.83 / $2,041.74 / $7,079.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,981.07 / $4,466.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $416.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,071.52 / $1,258.93
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,096.48 / $1,862.09
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $794.33 / $1,380.38
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $630.96 / $6,918.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $7,079.46 / $13,803.84