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Florida 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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $2,187.76 / $6,760.83
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$0.55 / $1,479.11 / $2,344.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $173.78 / $645.65
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$83.18 / $218.78 / $831.76
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $204.17 / $263.03
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$81.28 / $295.12 / $363.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $100.00 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $144.54 / $354.81
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $2,630.27 / $6,309.57
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $181.97 / $245.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $44.67 / $295.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $1,778.28 / $4,168.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $128.82 / $269.15
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $162.18 / $257.04