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Washington, DC 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
$416.87 / $2,754.23 / $4,073.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $199.53 / $467.74
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$204.17 / $204.17 / $204.17
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $204.17 / $4,073.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $363.08 / $954.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $478.63 / $912.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $9,549.93 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $371.54 / $933.25