go back

Alaska rates for HCPCS 64635

Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,176.23 / $4,691.26 / $9,577.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,218.22 / $5,074.56 / $6,247.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.90 / $789.18 / $2,497.19
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$297.23 / $7,678.12 / $10,750.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.26 / $815.57 / $1,917.17
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.55 / $1,035.08 / $2,796.86
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.60 / $1,064.21 / $2,535.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.25 / $1,290.00 / $2,358.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.55 / $1,035.08 / $2,796.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.60 / $1,225.50 / $2,350.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.97 / $1,577.55 / $2,378.96