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Arizona rates for HCPCS 64634

Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, each additional facet joint (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.00 / $1,980.00 / $5,506.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,081.25 / $3,300.00 / $3,300.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.36 / $191.53 / $604.34
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$93.56 / $161.90 / $295.79
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.72 / $224.04 / $624.95
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$353.75 / $353.75 / $353.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.71 / $444.12 / $730.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.99 / $120.86 / $197.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.88 / $159.16 / $347.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.39 / $237.69 / $1,216.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.22 / $246.86 / $960.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.00 / $1,535.00 / $2,175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.98 / $219.24 / $397.00