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Colorado 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
$1,144.00 / $3,889.00 / $9,872.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.71 / $212.35 / $319.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.46 / $284.39 / $379.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.00 / $1,491.00 / $2,720.00