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Colorado 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
$248.71 / $1,389.90 / $7,617.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$823.50 / $823.50 / $873.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.97 / $189.33 / $419.08
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$97.10 / $302.07 / $302.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.66 / $93.27 / $149.62
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$100.05 / $106.41 / $325.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.74 / $198.42 / $368.89
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.59 / $189.61 / $391.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.83 / $246.49 / $438.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.00 / $1,491.00 / $2,720.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.15 / $298.72 / $487.21