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North Dakota 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
$437.66 / $437.66 / $8,500.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.66 / $580.22 / $744.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,978.00 / $1,978.00 / $1,978.00