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New York 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
$100.00 / $2,884.03 / $7,413.10
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$208.93 / $3,388.44 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $213.80 / $758.58
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$154.88 / $288.40 / $794.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $67.61 / $257.04
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$95.50 / $120.23 / $269.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $3,630.78 / $5,011.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $269.15 / $512.86
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$338.84 / $407.38 / $758.58
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $1,258.93 / $6,165.95
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $269.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $114.82 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $229.09 / $707.95
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $81.28 / $218.78
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $446.68 / $776.25
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $229.09
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $316.23 / $537.03
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $1,096.48 / $3,801.89
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $346.74 / $645.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $2,754.23 / $4,897.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $173.78 / $457.09
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $77.62 / $223.87
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $269.15 / $501.19