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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
$503.51 / $6,396.00 / $11,332.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,281.82 / $31,281.82 / $31,281.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,527.00 / $9,152.00 / $18,419.00