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Virginia 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
$325.02 / $1,328.39 / $5,743.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,486.16 / $2,953.84 / $4,720.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.60 / $410.04 / $610.75
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$476.91 / $600.67 / $624.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.11 / $225.58 / $376.58
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$264.60 / $338.37 / $564.87
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.95 / $248.96 / $2,635.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.12 / $326.12 / $640.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.85 / $415.30 / $738.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.99 / $530.50 / $626.95
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.74 / $453.48 / $743.42
Medcost
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$687.12 / $895.17 / $1,750.92
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.00 / $590.30 / $818.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.98 / $296.39 / $1,291.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.03 / $574.86 / $1,810.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,651.00 / $6,870.00 / $12,739.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.68 / $555.03 / $829.08