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Arkansas rates for HCPCS 64636

Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, each additional facet joint (List separately in addition to code for primary procedure)

Facilitymedian $1,072 · 10th–90th $112–$2,5120%5%10%10th90th$1,072Professionalmedian $174 · 10th–90th $58–$7410%5%10th90th$174$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $1,071.52 / $2,511.89
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$794.33 / $1,737.80 / $2,511.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $177.83 / $776.25
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$79.43 / $131.83 / $741.31
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $263.03 / $354.81
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $75.86 / $173.78
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $263.03 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $138.04 / $354.81
Qualchoice
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $147.91 / $512.86
Qualchoice
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$131.83 / $169.82 / $660.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $363.08 / $776.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $147.91 / $302.00