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Washington 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 $3,162 · 10th–90th $363$8,7100%10%10th90th$3,162Professionalmedian $490 · 10th–90th $214$1,6980%10%10th90th$490$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$446.68 / $5,370.32 / $8,709.64
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,951.21 / $8,709.64 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $436.52 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$346.74 / $724.44 / $2,754.23
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $588.84 / $912.01
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$489.78 / $524.81 / $660.69
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $5,128.61 / $10,471.29
Asuris Northwest Health
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$5,623.41 / $7,762.47 / $15,848.93
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $616.60 / $1,047.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $870.96 / $2,630.27
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $501.19 / $1,202.26
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $537.03 / $1,778.28
Kaiser Permanente
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,905.46 / $7,943.28 / $14,125.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $512.86 / $1,202.26
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $165.96
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $831.76 / $891.25
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $602.56 / $602.56
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $602.56 / $1,071.52
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $5,370.32 / $10,471.29
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$5,370.32 / $7,943.28 / $15,848.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $616.60 / $1,047.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $6,165.95 / $11,220.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $501.19 / $954.99
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $354.81 / $676.08