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Mississippi 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
$457.09 / $1,698.24 / $3,715.35
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$323.59 / $1,412.54 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $416.87 / $776.25
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$281.84 / $954.99 / $1,318.26
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $354.81 / $812.83
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$269.15 / $354.81 / $645.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,047.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $812.83 / $1,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $954.99 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $457.09 / $812.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $2,344.23 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $416.87 / $870.96