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Alabama 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
$781.00 / $1,678.00 / $2,250.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,648.86 / $16,563.53 / $22,283.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.00 / $5,085.00 / $9,763.00