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Wyoming 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
50
Low / Median / High Price
$2,136.60 / $4,004.27 / $4,264.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.61 / $565.29 / $3,825.90
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$668.82 / $668.82 / $829.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,650.40 / $1,650.40 / $1,650.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.00 / $620.00 / $1,421.00
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$577.50 / $1,116.00 / $2,131.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.68 / $553.96 / $959.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,607.00 / $2,607.00 / $10,877.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.42 / $840.27 / $1,727.69