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Kansas 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
$398.11 / $3,162.28 / $7,413.10
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$977.24 / $3,162.28 / $5,370.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $407.38 / $954.99
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$288.40 / $616.60 / $1,412.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $181.97 / $398.11
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$229.09 / $323.59 / $645.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $2,454.71 / $2,454.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $724.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $416.87 / $724.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $616.60 / $4,168.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $602.56 / $3,311.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $2,089.30 / $4,677.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $416.87 / $660.69