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Rhode Island 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
$3,438.26 / $3,706.14 / $4,026.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,007.00 / $6,315.00 / $12,945.00