go back

Massachusetts 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
$446.68 / $2,187.76 / $3,630.78
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$691.83 / $2,951.21 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $436.52 / $1,318.26
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$275.42 / $630.96 / $2,754.23
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $3,890.45 / $39,810.72
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $512.86 / $1,258.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $223.87 / $524.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $660.69 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $478.63 / $1,047.13
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $295.12 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $676.08 / $933.25
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $4,265.80 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $489.78 / $1,202.26
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $3,019.95 / $3,548.13
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $707.95 / $741.31
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $3,890.45 / $39,810.72
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $512.86 / $1,258.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $3,981.07 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $512.86 / $1,202.26