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Alaska rates for HCPCS 64624

Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$893.77 / $2,242.29 / $10,900.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.16 / $715.02 / $1,739.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.93 / $620.99 / $1,689.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.88 / $786.52 / $2,435.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.70 / $926.56 / $2,234.69
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.25 / $867.75 / $2,198.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.88 / $786.52 / $2,435.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.70 / $846.00 / $2,304.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$994.68 / $1,500.58 / $2,262.90