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Florida 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
$348.20 / $2,747.00 / $10,086.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,730.30 / $3,856.41 / $8,086.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.00 / $352.61 / $560.15
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$518.37 / $640.67 / $4,094.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.75 / $378.19 / $739.90
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$260.62 / $567.29 / $914.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $921.94 / $1,097.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.53 / $396.95 / $732.51
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,144.00 / $5,784.00 / $11,062.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.07 / $404.14 / $490.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.41 / $362.39 / $557.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,954.00 / $5,889.00 / $10,192.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.60 / $457.79 / $762.58
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.32 / $331.92 / $331.92