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Idaho 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
$197.76 / $898.26 / $3,037.70
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,158.98 / $1,549.68 / $2,931.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.97 / $191.53 / $636.33
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$99.32 / $211.03 / $302.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.62 / $187.97 / $331.05
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.88 / $212.72 / $674.51
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.74 / $161.72 / $482.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $342.78 / $431.24
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.39 / $158.94 / $531.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $1,800.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.96 / $292.29 / $400.11