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Oklahoma rates for HCPCS 64624

Destruction Neurolytic Agt Genicular Nerve W/Img

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$682.00 / $3,683.00 / $7,500.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,948.56 / $3,948.56 / $3,948.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.44 / $298.27 / $404.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,866.82 / $2,927.28 / $4,566.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.18 / $384.65 / $528.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,491.09 / $1,491.09 / $1,491.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.53 / $247.55 / $569.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.85 / $365.03 / $4,596.00
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
$346.57 / $458.67 / $1,095.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.00 / $3,317.00 / $5,543.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.05 / $438.44 / $601.37