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West Virginia 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
$202.59 / $297.06 / $1,400.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.24 / $250.64 / $345.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.17 / $224.17 / $224.17
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,509.25 / $9,509.25 / $9,509.25