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West 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
$132.51 / $340.45 / $1,200.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.51 / $332.97 / $675.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.28 / $185.80 / $255.80
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.16 / $165.16 / $165.16
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
$154.21 / $373.62 / $775.16
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$825.43 / $825.43 / $7,957.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.30 / $467.88 / $708.46