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Wyoming 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
$645.29 / $4,227.46 / $8,464.85
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,473.00 / $4,370.82 / $7,000.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.68 / $884.60 / $4,266.00
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$533.36 / $678.34 / $2,632.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,650.40 / $1,650.40 / $1,650.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.00 / $621.00 / $1,433.00
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$579.00 / $1,117.50 / $2,149.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.95 / $549.30 / $949.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,607.00 / $2,607.00 / $10,877.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.97 / $831.13 / $1,697.80