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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
$112.20 / $1,318.26 / $7,244.36
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$275.42 / $831.76 / $954.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $229.09 / $602.56
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$141.25 / $302.00 / $794.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $95.50 / $147.91
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$100.00 / $112.20 / $173.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $114.82 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $194.98 / $380.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $281.84 / $1,548.82
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $251.19 / $281.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,479.11 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $199.53 / $380.19