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.
Original text from hospital filings
Dstrj Neurolytic Trigeminal Nrv 2/3 Div Branch
Low
$546
Average
$2.6k
Median
$2.3k
High
$9.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
63 payers; the 90th percentile is 5.0× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +25 other terms | 500 | $2.0k | $2.9k | $3.4k | 117% | — | $97 – $57.4k |
| 2 | Aetna fee schedule · outpatient · +24 other terms | 454 | $2.1k | $2.5k | $2.0k | 81% | — | $36 – $21.3k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +21 other terms | 353 | $2.7k | $3.6k | $2.4k | 66% | — | $1 – $18.0k |
| 4 | Humana fee schedule · outpatient · +22 other terms | 351 | $1.9k | $1.7k | $918 | 54% | — | $1 – $12.8k |
| 5 | Cigna case rate · outpatient · +21 other terms | 321 | $3.0k | $4.8k | $6.0k | 125% | — | $678 – $40.7k |
| 6 | Molina fee schedule · outpatient · +17 other terms | 219 | $1.1k | $1.2k | $947 | 78% | — | $1 – $5.3k |
| 7 | WellCare fee schedule · outpatient · +13 other terms | 164 | $2.0k | $2.1k | $724 | 35% | — | $387 – $4.6k |
| 8 | Oscar case rate · outpatient · +17 other terms | 137 | $5.6k | $5.1k | $1.7k | 33% | — | $2.4k – $10.1k |
| 9 | Anthem fee schedule · outpatient · +20 other terms | 123 | $1.9k | $1.9k | $2.3k | 124% | — | $182 – $14.3k |
| 10 | Kaiser fee schedule · outpatient · +14 other terms | 98 | $2.5k | $2.9k | $2.5k | 84% | — | $152 – $14.1k |
| 11 | Ambetter fee schedule · outpatient · +14 other terms | 78 | $3.3k | $2.6k | $1.4k | 53% | — | $879 – $4.7k |
| 12 | Healthcare Highways case rate · outpatient · +1 other terms | 76 | $3.7k | $4.2k | $991 | 24% | — | $1.1k – $5.5k |
| 13 | Aetna Better Health fee schedule · outpatient · +10 other terms | 71 | $833 | $816 | $229 | 28% | — | $315 – $1.8k |
| 14 | Devoted fee schedule · outpatient · +7 other terms | 69 | $2.0k | $1.8k | $511 | 28% | — | $409 – $2.2k |
| 15 | Caresource fee schedule · outpatient · +10 other terms | 55 | $1.9k | $1.6k | $874 | 54% | — | $879 – $4.5k |
| 16 | Superior Healthplan case rate · outpatient · +4 other terms | 38 | $948 | $983 | $273 | 28% | — | $929 – $2.9k |
| 17 | Optum fee schedule · outpatient · +15 other terms | 35 | $1.9k | $2.3k | $1.7k | 73% | — | $409 – $7.2k |
| 18 | Amerihealth Caritas case rate · outpatient · +9 other terms | 33 | $370 | $4.6k | $4.3k | 95% | — | $350 – $10.5k |
| 19 | MultiPlan case rate · outpatient · +15 other terms | 33 | $2.8k | $4.9k | $3.2k | 65% | — | $1.8k – $11.5k |
| 20 | Bcbs Tx fee schedule · outpatient · +2 other terms | 32 | $2.5k | $2.5k | $1.2k | 49% | — | $660 – $7.1k |
| 21 | Clover fee schedule · outpatient · +6 other terms | 31 | $2.1k | $2.2k | $605 | 27% | — | $1.8k – $4.6k |
| 22 | First Health fee schedule · outpatient · +16 other terms | 30 | $2.0k | $2.3k | $2.1k | 93% | — | $660 – $7.2k |
| 23 | Tricare fee schedule · outpatient · +10 other terms | 30 | $1.8k | $2.1k | $1.3k | 62% | — | $355 – $5.3k |
| 24 | Cigna Healthspring fee schedule · outpatient · +6 other terms | 29 | $693 | $1.4k | $631 | 46% | — | $693 – $2.1k |
| 25 | Medica case rate · outpatient · +13 other terms | 28 | $2.9k | $3.1k | $1.3k | 41% | — | $1.1k – $6.3k |
← Hospitals reporting CPT 64605 · Snapshot 20261112T181611Z-3fa9fb76