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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)

Facilitymedian $794 · 10th–90th $151$2,9510%10%10th90th$794Professionalmedian $200 · 10th–90th $66$6610%5%10%10th90th$200$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $891.25 / $4,466.84
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,047.13 / $1,548.82 / $2,951.21
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $194.98 / $707.95
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$147.91 / $208.93 / $380.19
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $363.08 / $1,698.24
BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$346.74 / $549.54 / $2,511.89
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $371.54 / $489.78
BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$186.21 / $707.95 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $177.83 / $338.84
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $257.04 / $812.83
Moda Health
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,047.13 / $1,548.82 / $2,951.21
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $199.53 / $537.03
Moda Health
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$93.33 / $208.93 / $302.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $181.97 / $512.86
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $245.47 / $524.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $1,819.70 / $9,332.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $154.88 / $354.81