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Louisiana 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 $1,778 · 10th–90th $501–$4,4670%5%10th90th$1,778Professionalmedian $407 · 10th–90th $191–$8510%5%10%10th90th$407$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
$478.63 / $1,288.25 / $4,168.69
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$831.76 / $3,801.89 / $6,165.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $389.05 / $724.44
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$338.84 / $602.56 / $1,949.84
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$309.03 / $331.13 / $630.96
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $2,238.72 / $4,073.80
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $398.11 / $676.08
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $1,380.38 / $1,380.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $398.11 / $691.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $2,630.27 / $5,888.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $380.19 / $707.95