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Maryland rates for HCPCS 64624

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

Facilitymedian $617 · 10th–90th $398$1,6220%10%20%10th90th$617Professionalmedian $339 · 10th–90th $135$6610%5%10%10th90th$339$100.0$200.0$500.0$1.0K$2.0K

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $338.84 / $660.69
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$223.87 / $223.87 / $223.87
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $154.88 / $213.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $645.65 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $346.74 / $724.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $501.19 / $758.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $524.81 / $3,981.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $323.59 / $724.44
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $501.19 / $630.96