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Florida 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
$60.40 / $1,458.50 / $9,095.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$830.46 / $1,551.56 / $2,490.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.06 / $157.47 / $277.70
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$340.36 / $1,902.37 / $1,902.37
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.00 / $215.39 / $347.40
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$91.50 / $323.08 / $323.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $323.00 / $323.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.14 / $160.07 / $367.37
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,135.00 / $2,674.00 / $6,584.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.03 / $196.79 / $258.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.16 / $247.49 / $383.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.00 / $1,950.00 / $5,107.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.30 / $207.01 / $349.20
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.06 / $176.94 / $176.94