go back

Texas 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
$267.97 / $1,937.00 / $6,000.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$901.01 / $973.09 / $4,017.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.03 / $189.33 / $351.79
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$97.32 / $287.30 / $1,687.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.18 / $82.47 / $280.83
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$241.85 / $241.85 / $366.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.43 / $1,013.00 / $3,989.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.94 / $182.88 / $328.45
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.37 / $891.00 / $8,000.00
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.15 / $98.45 / $276.41
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.13 / $516.26 / $516.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.34 / $114.34 / $114.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.61 / $152.61 / $362.90
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $457.41
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.79 / $2,060.00 / $2,093.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.68 / $181.12 / $368.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.10 / $120.32 / $430.72
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.84 / $2,499.00 / $6,094.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.83 / $230.34 / $507.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.70 / $181.93 / $383.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.81 / $163.62 / $389.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.00 / $950.00 / $2,405.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.18 / $211.70 / $339.56
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.94 / $230.34 / $327.54