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Massachusetts rates for HCPCS 64624

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

Facilitymedian $1,820 · 10th–90th $170–$4,1690%10%10th90th$1,820Professionalmedian $372 · 10th–90th $145–$9120%5%10%10th90th$372$50.0$200.0$1.0K$5.0K$20.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $2,238.72 / $3,801.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $338.84 / $588.84
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$204.17 / $204.17 / $204.17
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $3,801.89 / $9,120.11
AllWays Health Partners
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$4,265.80 / $4,265.80 / $4,265.80
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $457.09 / $1,584.89
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $371.54 / $891.25
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $190.55 / $3,311.31
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $575.44 / $812.83
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $4,265.80 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $426.58 / $1,071.52
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $3,801.89 / $9,120.11
Mass General Brigham
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$4,265.80 / $4,265.80 / $4,265.80
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $457.09 / $1,584.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,862.09 / $3,890.45 / $8,709.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $416.87 / $1,096.48