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Delaware 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
$3,140.00 / $3,140.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.36 / $175.08 / $259.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.16 / $125.54 / $345.73
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.80 / $253.80 / $253.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.00 / $143.00 / $143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.00 / $259.30 / $431.33