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Mississippi 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
$416.59 / $1,186.00 / $2,825.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,189.84 / $17,189.84 / $20,799.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,801.12 / $9,852.78 / $10,892.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $6,242.00 / $15,000.00