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New Jersey 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
$4,466.84 / $8,511.38 / $12,302.69
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,302.68 / $41,686.94 / $66,069.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $9,772.37 / $25,118.86