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Washington 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
$933.25 / $2,290.87 / $17,782.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $562.34 / $2,630.27
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,023.29 / $1,949.84
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,445.44 / $1,548.82
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,096.48
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $5,495.41 / $10,471.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $6,760.83 / $11,220.18