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Minnesota rates for HCPCS 64624

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

Facilitymedian $2,754 · 10th–90th $398–$10,0000%5%10th90th$2,754Professionalmedian $603 · 10th–90th $224–$1,5850%5%10th90th$603$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
$144.54 / $398.11 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $338.84 / $562.34
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$208.93 / $208.93 / $208.93
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $4,570.88 / $13,803.84
BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$4,570.88 / $7,413.10 / $20,892.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $645.65 / $1,380.38
BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$426.58 / $954.99 / $2,041.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,479.11 / $3,548.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $691.83 / $1,659.59
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,380.38 / $2,754.23
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $588.84 / $1,348.96
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $537.03 / $3,981.07
Medica
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,754.23 / $3,019.95 / $3,162.28
Medica
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$537.03 / $537.03 / $537.03
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $812.83 / $1,778.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $5,011.87 / $8,912.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $478.63 / $1,230.27