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California 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
$1,023.29 / $4,897.79 / $14,454.40
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,388.44 / $6,165.95 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $436.52 / $1,548.82
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$295.12 / $691.83 / $2,754.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $407.38 / $588.84
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$275.42 / $549.54 / $831.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $4,466.84 / $12,022.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $389.05 / $954.99
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$275.42 / $537.03 / $776.25
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $1,548.82 / $8,709.64
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $467.74 / $912.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $457.09 / $831.76
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $245.47 / $831.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $467.74 / $912.01
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $39,810.72 / $39,810.72
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $3,630.78 / $3,630.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $616.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $436.52 / $812.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $467.74 / $912.01
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $724.44 / $1,380.38
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $323.59 / $524.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $7,413.10 / $15,135.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $363.08 / $741.31