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Michigan 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 $1,549 · 10th–90th $93$3,8900%10%10th90th$1,549Professionalmedian $204 · 10th–90th $65$6310%5%10%10th90th$204$20.0$100.0$500.0$2.0K

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
$91.20 / $1,096.48 / $2,137.96
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$831.76 / $3,890.45 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $199.53 / $630.96
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$147.91 / $218.78 / $575.44
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $91.20 / $446.68
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$102.33 / $102.33 / $102.33
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $199.53 / $398.11
BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$213.80 / $794.33 / $794.33
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $97.72 / $141.25
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $309.03 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $186.21 / $363.08
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $1,023.29 / $2,884.03
Health Alliance Plan
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$416.87 / $2,630.27 / $3,890.45
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $223.87 / $457.09
Health Alliance Plan
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$162.18 / $275.42 / $645.65
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $186.21 / $331.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $1,202.26 / $2,041.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $162.18 / $288.40