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Kentucky 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
$204.17 / $1,778.28 / $8,511.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $10,715.19 / $11,220.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $245.47 / $316.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $331.13 / $331.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $602.56 / $3,162.28