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Arizona 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 $2,042 · 10th–90th $234–$5,6230%10%10th90th$2,042Professionalmedian $204 · 10th–90th $58–$9770%5%10%10th90th$204$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
$501.19 / $2,290.87 / $5,623.41
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$724.44 / $2,818.38 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $208.93 / $831.76
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$81.28 / $213.80 / $1,122.02
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $229.09 / $229.09
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$81.28 / $338.84 / $363.08
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $794.33 / $1,445.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $165.96 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $151.36 / $316.23
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $223.87 / $1,412.54
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $245.47 / $1,778.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $1,122.02 / $2,137.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $141.25 / $275.42