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West Virginia 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
$924.02 / $1,660.35 / $4,611.64
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,959.60 / $5,959.60 / $6,792.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.36 / $143.19 / $279.50
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$212.65 / $214.79 / $220.05
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.64 / $76.37 / $105.01
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.88 / $345.41 / $500.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.34 / $114.34 / $114.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.72 / $206.72 / $380.34
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.38 / $1,588.12 / $2,103.86
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,207.72 / $4,207.72 / $4,207.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.93 / $250.07 / $375.04