go back

Virginia 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
$388.42 / $2,064.67 / $6,827.70
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,671.36 / $3,843.88 / $8,132.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.90 / $407.69 / $718.92
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$313.45 / $613.29 / $884.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.42 / $225.98 / $377.25
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$265.07 / $338.97 / $565.87
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.33 / $243.84 / $2,635.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.10 / $326.10 / $640.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.07 / $413.56 / $725.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.56 / $535.16 / $632.48
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.21 / $453.55 / $736.98
Medcost
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$687.46 / $879.80 / $1,732.09
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.00 / $579.75 / $824.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.46 / $293.47 / $1,291.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.91 / $567.00 / $1,790.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,651.00 / $6,870.00 / $12,739.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.00 / $549.08 / $871.16