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Rhode Island 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 $4,571 · 10th–90th $2,570–$5,4950%10%20%10th90th$4,571Professionalmedian $457 · 10th–90th $191–$1,5850%5%10%10th90th$457$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$1,548.82 / $4,570.88 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $457.09 / $1,513.56
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$1,698.24 / $1,737.80 / $1,819.70
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $407.38 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $478.63 / $891.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $4,073.80 / $7,585.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $416.87 / $794.33