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Virginia 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
$166.38 / $3,633.00 / $9,962.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.37 / $332.97 / $480.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.99 / $171.35 / $286.05
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$200.99 / $257.02 / $429.07
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.50 / $168.69 / $2,635.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.99 / $248.99 / $640.00
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
$151.33 / $342.02 / $681.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.15 / $473.85 / $539.47
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.77 / $364.51 / $693.07
Medcost
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$524.78 / $825.60 / $1,686.57
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.14 / $585.11 / $749.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.34 / $200.37 / $1,291.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.62 / $542.04 / $1,770.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,651.00 / $6,870.00 / $12,739.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.08 / $533.87 / $798.71