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Maine rates for HCPCS 64624

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

Facilitymedian $1,905 · 10th–90th $1,905–$1,9050%50%$1,905Professionalmedian $380 · 10th–90th $148–$7590%10%10th90th$380$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
Facility
Modifier
Typical Low / Median / Typical High
$1,905.46 / $1,905.46 / $1,905.46
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $380.19 / $676.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $223.87 / $354.81
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$199.53 / $331.13 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $346.74 / $831.76
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $467.74 / $812.83
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $380.19 / $630.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,981.07 / $3,981.07 / $3,981.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $354.81 / $794.33