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Ohio rates for HCPCS 64624

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

Facilitymedian $2,512 · 10th–90th $219$10,2330%10%10th90th$2,512Professionalmedian $251 · 10th–90th $135$5750%10%20%10th90th$251$2.0$10.0$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
$204.17 / $2,238.72 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $331.13 / $660.69
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$204.17 / $204.17 / $204.17
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$194.98 / $194.98 / $194.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $2,884.03 / $7,943.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $173.78 / $281.84
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$190.55 / $263.03 / $416.87
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $141.25 / $165.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $21,379.62 / $21,379.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $302.00 / $645.65
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $21,379.62 / $21,379.62
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $295.12 / $616.60
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $128.82
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $2,398.83
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $323.59 / $602.56
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $4,265.80 / $6,760.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $288.40 / $616.60