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Idaho 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

Facilitymedian $2,951 · 10th–90th $468$8,1280%5%10%10th90th$2,951Professionalmedian $468 · 10th–90th $214$1,0720%5%10%10th90th$468$50.0$200.0$1.0K$5.0K

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
$562.34 / $2,818.38 / $4,466.84
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,778.28 / $4,265.80 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $446.68 / $1,071.52
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$269.15 / $645.65 / $1,096.48
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $1,905.46 / $5,011.87
BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,288.25 / $3,019.95 / $7,585.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $645.65 / $851.14
BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$501.19 / $1,174.90 / $1,288.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,122.02 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $407.38 / $707.95
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $562.34 / $2,884.03
Moda Health
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,951.21 / $4,073.80 / $8,709.64
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $467.74 / $1,047.13
Moda Health
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$257.04 / $602.56 / $1,096.48
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,467.37 / $4,365.16 / $6,309.57
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$5,248.07 / $7,244.36 / $9,332.54
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $616.60 / $891.25
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $426.58 / $1,862.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $5,495.41 / $12,302.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $457.09 / $776.25