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Oklahoma rates for HCPCS 64628

Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral

Facilitymedian $8,128 · 10th–90th $1,445$18,6210%5%10th90th$8,128$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $3,890.45 / $8,511.38
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,912.51 / $13,803.84 / $22,908.68
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,488.17 / $15,488.17 / $15,488.17
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $2,187.76 / $13,489.63
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $7,762.47 / $15,848.93