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New York 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
$335.12 / $3,356.00 / $8,696.40
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,692.00 / $5,710.00 / $12,662.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.14 / $425.72 / $1,052.32
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$315.20 / $861.29 / $4,966.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,385.00 / $4,133.00 / $9,074.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.08 / $458.21 / $1,018.99
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$502.99 / $687.33 / $1,559.71
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.08 / $1,716.00 / $6,213.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.08 / $318.08 / $603.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.12 / $326.12 / $326.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.53 / $515.74 / $1,303.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.00 / $297.81 / $486.83
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.70 / $706.32 / $2,595.06
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$399.05 / $399.05 / $399.05
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.66 / $508.34 / $923.32
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.82 / $2,235.90 / $5,864.84
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$592.33 / $838.03 / $4,066.74
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.74 / $614.74 / $614.74
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.12 / $555.00 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.14 / $544.60 / $1,334.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,925.00 / $4,399.00 / $10,452.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.84 / $578.41 / $1,319.09
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.17 / $224.17 / $743.33
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.66 / $532.19 / $923.32