Nerve block injection to trigeminal nerve

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PR Injection Anesthetic Agent and/or Steroid Trigeminal Nerve|BILATERAL PROCEDURE

Payers reporting CPT 64400

Payer pricing summary

Low

$63

Average

$784

Median

$506

High

$7.8k

Payer rate distribution

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#
1	Molina fee schedule · outpatient · +33 other terms	260	$273	$271	$496	183%	41–212	$1 – $5.8k
2	UnitedHealthcare fee schedule · outpatient · +38 other terms	623	$329	$658	$1.2k	188%	28–64	$1 – $17.9k
3	Kaiser fee schedule · outpatient · +27 other terms	109	$388	$487	$601	123%	6–60	$12 – $4.3k
4	Aetna fee schedule · outpatient · +37 other terms	576	$341	$930	$1.8k	198%	4–40	$1 – $21.3k
5	Anthem fee schedule · outpatient · +31 other terms	151	$287	$434	$795	183%	4–40	$6 – $6.3k
6	Humana fee schedule · outpatient · +32 other terms	423	$297	$375	$698	186%	3–30	$1 – $12.8k
7	Premera fee schedule · outpatient · +17 other terms	15	$967	$771	$361	47%	3–30	$192 – $1.4k
8	Bcbs Al facility · other · outpatient · +5 other terms	4	$588	$381	$267	70%	3–30	$119 – $751
9	Blue Cross Blue Shield fee schedule · outpatient · +38 other terms	458	$384	$871	$1.6k	182%	1–10	$0 – $18.0k
10	Caresource fee schedule · outpatient · +19 other terms	75	$330	$633	$615	97%	1–10	$1 – $4.3k
11	Cigna case rate · outpatient · +34 other terms	326	$2.9k	$4.5k	$5.9k	130%	—	$1 – $40.7k
12	WellCare fee schedule · outpatient · +23 other terms	194	$315	$359	$443	124%	—	$45 – $4.3k
13	Oscar case rate · outpatient · +22 other terms	129	$2.5k	$2.7k	$703	26%	—	$462 – $7.5k
14	Devoted facility · fee schedule · outpatient · +18 other terms	107	$301	$345	$513	149%	—	$43 – $4.9k
15	MultiPlan fee schedule · outpatient · +22 other terms	106	$559	$558	$297	53%	—	$1 – $1.6k
16	Ambetter facility · fee schedule · outpatient · +21 other terms	105	$542	$607	$812	134%	—	$48 – $8.2k
17	Aetna Better Health fee schedule · outpatient · +20 other terms	83	$85	$162	$330	204%	—	$39 – $4.1k
18	Tricare facility · fee schedule · outpatient · +19 other terms	80	$309	$795	$1.7k	208%	—	$40 – $9.9k
19	Optum fee schedule · outpatient · +26 other terms	69	$278	$333	$249	75%	—	$45 – $1.2k
20	Highmark facility · fee schedule · outpatient · +20 other terms	65	$415	$550	$484	88%	—	$14 – $2.3k
21	Medicare facility · fee schedule · outpatient · +19 other terms	55	$316	$701	$2.2k	310%	—	$44 – $22k
22	Medica facility · fee schedule · outpatient · +25 other terms	51	$295	$231	$220	95%	—	$6 – $1.3k
23	Medicaid facility · fee schedule · outpatient · +15 other terms	49	$252	$241	$157	65%	—	$8 – $820
24	First Health fee schedule · outpatient · +23 other terms	46	$321	$958	$1.9k	199%	—	$31 – $7.2k
25	Amerihealth Caritas facility · fee schedule · outpatient · +16 other terms	45	$134	$342	$1.0k	293%	—	$13 – $9.5k

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