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Washington, DC 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
$1,017.00 / $4,673.00 / $7,007.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.96 / $930.94 / $930.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,062.00 / $5,185.00 / $41,544.00