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North Dakota 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
$223.87 / $2,290.87 / $5,623.41
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,949.84 / $2,290.87 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $407.38 / $676.08
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$275.42 / $602.56 / $2,398.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $537.03 / $1,047.13
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$562.34 / $812.83 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $645.65 / $1,202.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $416.87 / $1,258.93
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,388.44 / $4,466.84 / $7,585.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $776.25 / $1,659.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,041.74 / $3,801.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $467.74 / $933.25