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Oklahoma 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
$500.00 / $2,648.75 / $6,435.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$979.34 / $3,217.50 / $6,087.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $337.51 / $468.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,832.80 / $2,927.28 / $4,626.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.71 / $401.45 / $551.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,491.09 / $1,491.09 / $1,491.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.51 / $374.65 / $648.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.56 / $425.51 / $4,232.60
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,817.50 / $3,817.50 / $3,817.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.27 / $505.02 / $1,646.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.00 / $3,317.00 / $5,543.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.73 / $460.28 / $651.21