go back

Missouri 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
$394.67 / $2,598.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.44 / $321.81 / $675.91
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$213.72 / $215.51 / $215.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.04 / $161.24 / $277.67
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$193.57 / $241.86 / $416.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.58 / $325.14 / $697.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.61 / $354.00 / $1,880.00
Medica
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$534.08 / $534.08 / $534.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.56 / $662.31 / $3,102.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,438.00 / $2,874.00 / $5,829.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.48 / $562.09 / $852.19