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Rhode Island 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
$1,142.66 / $1,543.03 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.22 / $153.41 / $309.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.94 / $225.17 / $311.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.71 / $139.97 / $459.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $1,401.00 / $4,915.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.61 / $283.79 / $506.33