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Florida 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
$415.14 / $3,526.00 / $12,444.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $9,493.20 / $11,301.43
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,945.00 / $12,759.00 / $23,031.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,462.00 / $12,923.00 / $18,694.00