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Maryland 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
$234.42 / $912.01 / $2,630.27
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$489.78 / $1,445.44 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $436.52 / $1,548.82
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$288.40 / $645.65 / $2,754.23
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $199.53 / $251.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $407.38 / $831.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $562.34 / $851.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $524.81 / $741.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $398.11 / $741.31
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $562.34 / $707.95