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Delaware 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
$467.74 / $1,148.15 / $5,128.61
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,388.44 / $3,388.44 / $3,388.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $416.87 / $1,148.15
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$281.84 / $812.83 / $1,905.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $389.05 / $741.31
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,818.38 / $2,818.38 / $2,818.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,479.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $398.11 / $707.95