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Massachusetts 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
$467.74 / $2,238.72 / $3,801.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $338.84 / $758.58
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$208.93 / $208.93 / $208.93
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $2,884.03 / $5,754.40
AllWays Health Partners
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$4,168.69 / $4,168.69 / $4,168.69
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $457.09 / $1,380.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $169.82 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $363.08 / $891.25
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $223.87 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $588.84 / $831.76
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $4,265.80 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $426.58 / $1,071.52
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $3,801.89 / $9,120.11
Mass General Brigham
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$4,168.69 / $4,168.69 / $4,168.69
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $457.09 / $1,380.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $3,981.07 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $416.87 / $1,071.52