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Connecticut 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
$1,778.28 / $4,570.88 / $8,912.51
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,819.70 / $5,128.61 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $446.68 / $1,318.26
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$323.59 / $707.95 / $2,951.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $4,168.69 / $12,022.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $446.68 / $645.65
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$331.13 / $645.65 / $912.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $2,511.89 / $3,235.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $562.34 / $1,047.13
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $741.31 / $1,174.90
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $6,025.60 / $6,025.60
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $1,698.24 / $1,698.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $7,079.46 / $11,220.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $446.68 / $1,047.13