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Washington rates for HCPCS 64624

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

Facilitymedian $759 · 10th–90th $191$9,7720%5%10th90th$759Professionalmedian $380 · 10th–90th $145$9550%5%10th90th$380$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
$275.42 / $2,818.38 / $17,782.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $363.08 / $891.25
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,168.69 / $5,128.61 / $10,471.29
Asuris Northwest Health
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$6,309.57 / $7,762.47 / $15,848.93
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $467.74 / $977.24
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $870.96 / $2,630.27
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $407.38 / $1,047.13
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $467.74 / $1,778.28
Kaiser Permanente
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$4,897.79 / $7,943.28 / $14,125.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $436.52 / $1,148.15
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $758.58 / $776.25
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $537.03 / $602.56
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $537.03 / $954.99
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,981.07 / $5,370.32 / $10,471.29
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$6,025.60 / $7,943.28 / $15,848.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $446.68 / $977.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $6,165.95 / $11,220.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $407.38 / $891.25
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $275.42 / $602.56