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Arizona 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
$1,170.00 / $2,640.00 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.03 / $333.54 / $757.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.71 / $1,516.10 / $2,479.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.72 / $185.65 / $303.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.05 / $324.82 / $690.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.35 / $366.89 / $3,592.00
Medica
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$534.08 / $534.08 / $534.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.67 / $485.94 / $1,095.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,343.00 / $3,339.00 / $5,838.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.67 / $428.10 / $765.71