go back

California rates for HCPCS 64635

Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.06 / $4,848.00 / $14,699.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,234.03 / $7,847.81 / $9,823.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.91 / $418.39 / $1,316.21
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$308.87 / $740.26 / $2,737.14
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.50 / $212.99 / $505.08
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$246.88 / $550.15 / $1,442.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,723.00 / $4,597.00 / $9,381.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.35 / $370.07 / $711.52
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$305.07 / $379.68 / $731.45
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $7,615.58
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.68 / $421.75 / $787.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,816.42 / $1,819.64 / $3,253.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.75 / $464.60 / $842.66
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.46 / $275.20 / $745.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.14 / $447.41 / $832.32
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,100.65 / $1,100.65 / $40,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,624.13 / $3,135.84 / $3,630.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.61 / $422.82 / $713.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.77 / $477.94 / $923.98
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.36 / $727.36 / $1,381.33
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.80 / $320.43 / $613.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,459.00 / $7,352.00 / $14,743.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.68 / $476.74 / $960.30