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Iowa 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
$182.76 / $2,352.00 / $6,298.62
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$138.72 / $138.72 / $4,696.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.98 / $197.19 / $418.48
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$95.36 / $161.90 / $796.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.69 / $208.55 / $649.73
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.14 / $293.54 / $648.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.73 / $330.66 / $728.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.83 / $367.73 / $954.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.69 / $418.09 / $627.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.32 / $367.73 / $627.78
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.10 / $934.10 / $934.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,204.00 / $1,640.00 / $2,126.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.99 / $315.17 / $580.99
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.30 / $378.17 / $563.20