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Minnesota 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
$197.81 / $197.81 / $2,168.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.95 / $1.00 / $11,716.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.37 / $661.72 / $1,591.85
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$423.98 / $604.97 / $1,253.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.80 / $334.30 / $593.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.00 / $1,727.00 / $2,883.00