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Indiana rates for HCPCS 64628

Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral

Facilitymedian $33,884 · 10th–90th $3,388$52,4810%10%10th90th$33,884$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $4,897.79 / $16,218.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $38,904.51 / $57,543.99
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $416.87 / $467.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $501.19 / $15,135.61
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $11,748.98 / $17,782.79