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South Carolina rates for HCPCS 64628

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

Facilitymedian $9,120 · 10th–90th $537$18,1970%10%10th90th$9,120$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$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
$537.03 / $10,000.00 / $16,595.87
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $6,918.31 / $18,197.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $891.25 / $15,488.17
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $549.54 / $912.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,912.51 / $16,982.44 / $27,542.29