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Wyoming 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
$1,519.92 / $1,519.92 / $1,621.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.59 / $254.21 / $2,884.70
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$191.23 / $191.23 / $191.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.00 / $215.00 / $829.00
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$201.00 / $387.00 / $1,243.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.12 / $246.90 / $541.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.00 / $293.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.48 / $371.95 / $791.71