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Idaho 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
$1,407.00 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.13 / $360.34 / $961.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.38 / $1,110.38 / $1,113.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.00 / $321.32 / $700.10
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.18 / $378.36 / $1,057.52
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.37 / $611.64 / $741.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $528.09 / $664.37
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,480.58 / $4,867.04 / $5,994.73
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,105.28 / $7,300.56 / $9,122.73
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.14 / $546.08 / $802.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.00 / $5,550.00 / $12,233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.09 / $601.65 / $809.91