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Nationwide rates for HCPCS 64628

Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $5,248.07 / $12,302.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $7,079.46 / $26,302.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $1,258.93 / $10,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $9,120.11 / $20,892.96