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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
$1,148.15 / $4,897.79 / $11,220.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $9,549.93 / $9,772.37
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $12,022.64 / $22,908.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $12,302.69 / $18,620.87