go back

Minnesota 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
$64.57 / $977.24 / $3,235.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $194.98 / $691.83
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$97.72 / $213.80 / $575.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $2,041.74 / $7,079.46
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$0.02 / $0.02 / $0.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $316.23 / $794.33
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$173.78 / $457.09 / $1,148.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $977.24 / $2,344.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $407.38 / $1,071.52
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $933.25 / $1,819.70
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $426.58 / $954.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $302.00 / $1,445.44
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,862.09 / $1,862.09 / $1,862.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $380.19 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $1,862.09 / $3,467.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $213.80 / $630.96