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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
$453.70 / $2,382.00 / $9,133.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,699.98 / $3,141.14 / $4,860.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.76 / $378.62 / $722.12
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$502.37 / $627.44 / $627.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.44 / $163.44 / $163.44
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$303.19 / $303.19 / $303.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.10 / $366.00 / $719.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $624.00 / $624.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.26 / $419.94 / $722.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.76 / $573.78 / $3,595.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.01 / $597.90 / $3,287.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,436.00 / $3,096.00 / $5,565.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.66 / $534.38 / $776.63