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Rhode Island 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
$1,513.56 / $4,677.35 / $4,677.35
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,786.30 / $9,332.54 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $446.68 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$338.84 / $707.95 / $2,754.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $389.05 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $407.38 / $870.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $4,570.88 / $7,585.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $416.87 / $776.25