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New Jersey 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
$367.22 / $2,612.00 / $6,931.50
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,351.48 / $4,983.75 / $9,154.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.56 / $397.62 / $715.20
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$338.10 / $338.10 / $4,764.38
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $4,041.79 / $5,949.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.15 / $501.86 / $1,277.49
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,161.00 / $8,161.00 / $8,161.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.67 / $672.64 / $1,139.96
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,831.30 / $4,296.03 / $10,295.07
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.29 / $411.71 / $881.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,415.00 / $7,250.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.29 / $581.85 / $1,160.07