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Massachusetts 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
$204.17 / $1,513.56 / $3,630.78
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,412.54 / $1,412.54 / $2,630.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $204.17 / $741.31
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$147.91 / $213.80 / $457.09
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $630.96 / $2,818.38
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $208.93 / $741.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $177.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $309.03 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $177.83 / $575.44
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $177.83 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $389.05 / $489.78
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $2,041.74 / $3,467.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $239.88 / $676.08
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $954.99 / $2,089.30
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $446.68
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $630.96 / $2,818.38
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $208.93 / $724.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,862.09 / $2,818.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $190.55 / $630.96