go back

West Virginia 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
$425.62 / $620.83 / $2,600.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.40 / $523.83 / $721.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$469.76 / $469.76 / $469.76
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,189.79 / $15,657.06 / $32,836.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,439.00 / $4,439.00 / $4,439.00