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Vermont 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
$2,630.27 / $2,630.27 / $2,630.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $416.87 / $1,096.48
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$407.38 / $1,230.27 / $2,691.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,311.31 / $3,715.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $457.09 / $741.31
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $602.56 / $741.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $562.34 / $977.24