go back

Texas 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
$389.88 / $2,080.00 / $7,316.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.27 / $341.94 / $549.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.67 / $354.67 / $354.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.55 / $484.38 / $1,841.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.47 / $276.10 / $495.86
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$970.49 / $1,878.02 / $3,336.30
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.94 / $819.73 / $819.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.99 / $248.99 / $248.99
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$199.19 / $199.19 / $199.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.49 / $310.39 / $658.45
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $732.83
Lucent Health
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$534.08 / $586.26 / $586.26
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,076.64 / $1,213.58 / $3,207.75
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.16 / $333.54 / $596.97
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.45 / $426.29 / $667.24
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.51 / $383.04 / $797.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.22 / $333.54 / $618.89
Providence
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$199.19 / $199.19 / $199.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.49 / $319.36 / $740.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.00 / $3,326.00 / $7,600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.58 / $435.93 / $709.85
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.37 / $354.67 / $503.06