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Washington rates for HCPCS 64624

Destruction Neurolytic Agt Genicular Nerve W/Img

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.14 / $2,769.52 / $18,711.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.44 / $398.88 / $938.91
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$535.45 / $5,128.70 / $10,466.57
Asuris Northwest Health
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$6,292.82 / $8,207.42 / $15,878.12
Asuris Northwest Health
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$305.30 / $534.08 / $534.08
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.32 / $733.29 / $3,102.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$357.08 / $445.26 / $1,259.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.97 / $870.49 / $2,190.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.62 / $437.19 / $1,102.50
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.55 / $493.57 / $1,644.07
Kaiser Permanente
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,380.34 / $6,538.69 / $15,732.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.55 / $453.57 / $1,269.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.68 / $407.53 / $889.93
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.19 / $754.13 / $803.76
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$532.86 / $535.45 / $1,795.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.50 / $484.79 / $970.19
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,992.55 / $5,471.61 / $10,466.57
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,988.83 / $8,207.42 / $15,699.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.09 / $471.39 / $961.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $2,408.00 / $10,522.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.94 / $671.06 / $1,123.84
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.99 / $316.37 / $435.20