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Alaska rates for HCPCS 64633

Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,199.15 / $6,486.25 / $13,413.92
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,603.20 / $4,603.20 / $5,098.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.13 / $562.49 / $1,980.99
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$7,958.75 / $7,958.75 / $7,958.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.11 / $814.11 / $1,899.69
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.27 / $1,033.55 / $2,773.39
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.60 / $1,055.58 / $2,513.55
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.25 / $1,306.00 / $2,370.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.27 / $1,033.55 / $2,773.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.78 / $1,242.59 / $2,370.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.70 / $1,125.54 / $2,405.08