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Nebraska 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
$4,570.88 / $7,943.28 / $15,135.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,762.47 / $10,232.93 / $19,952.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,791.08 / $14,791.08 / $14,791.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $707.95 / $19,054.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,047.13 / $1,412.54
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,791.08 / $14,791.08 / $14,791.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $9,772.37 / $16,982.44