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Destroying a Facial Pain Nerve at the Skull Base

Virginia rates for HCPCS 64610

A needle is guided through the cheek to the small opening at the base of the skull where branches of the main facial sensation nerve pass, with x-ray imaging used to confirm the position. The nerve branches are then destroyed to stop severe, electric-shock-like facial pain. It is used when medicines no longer control the pain.

Rates data updated July 2026.

Facilitymedian $1,230 · 10th–90th $513$7,0790%5%10%10th90th$1,230Professionalmedian $1,072 · 10th–90th $832$1,6980%20%10th90th$1,072$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$2,041.74
Typical High
$7,079.46
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,071.52
Typical High
$1,258.93
Medcost
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,096.48
Typical High
$1,862.09
Medcost
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$794.33
Typical High
$1,318.26
Sentara
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$630.96
Typical High
$7,413.10
United
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$6,165.95
Typical High
$13,182.57