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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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,683.00 / $7,500.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,444.76 / $15,004.39 / $23,706.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.90 / $260.91 / $1,883.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.00 / $610.00 / $1,883.00