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Oklahoma 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)

Facilitymedian $6,310 · 10th–90th $525–$18,6210%5%10th90th$6,310$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $2,454.71 / $6,606.93
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,912.51 / $13,803.84 / $22,908.68
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $338.84 / $2,511.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $602.56 / $1,584.89