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Arkansas 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
$532.12 / $1,821.00 / $3,109.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,209.00 / $4,990.00 / $16,698.00