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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
$0.56 / $1,513.56 / $7,413.10
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$0.26 / $1,479.11 / $2,511.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $190.55 / $524.81
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$97.72 / $229.09 / $794.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $213.80 / $281.84
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$91.20 / $323.59 / $549.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $114.82 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $158.49 / $380.19
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $2,511.89 / $6,309.57
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $194.98 / $257.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $51.29 / $323.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $1,778.28 / $4,168.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $141.25 / $295.12
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $177.83 / $275.42