go back

New Hampshire 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 $2,344 · 10th–90th $102$8,9130%10%10th90th$2,344Professionalmedian $195 · 10th–90th $76$5370%5%10%10th90th$195$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
$102.33 / $2,344.23 / $8,912.51
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$8,128.31 / $8,128.31 / $8,128.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $194.98 / $501.19
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$194.98 / $213.80 / $218.78
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $229.09 / $229.09
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$81.28 / $81.28 / $81.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $131.83 / $186.21
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$87.10 / $194.98 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $204.17 / $575.44
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,413.10 / $7,413.10 / $7,413.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $234.42 / $602.56
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,413.10 / $7,413.10 / $7,413.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $204.17 / $549.54
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $102.33 / $323.59
Well Sense
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$331.13 / $331.13 / $331.13