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Arizona rates for HCPCS 64629

Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; each additional vertebral body, lumbar or sacral (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.00 / $2,640.00 / $5,506.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.14 / $2,274.05 / $3,464.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.22 / $261.41 / $1,689.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.00 / $1,535.00 / $2,175.00