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Georgia 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
$1,202.00 / $3,460.00 / $6,915.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,875.00 / $7,875.00 / $7,875.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.93 / $377.93 / $377.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.17 / $224.17 / $2,500.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.36 / $284.82 / $3,081.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.00 / $1,550.00 / $2,665.00