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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
$194.98 / $194.98 / $2,238.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $141.25 / $17,782.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $691.83 / $1,659.59
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $676.08 / $1,318.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $363.08 / $1,737.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $1,862.09 / $3,467.37