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Idaho 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 $1,585 · 10th–90th $148$8,1280%10%20%10th90th$1,585Professionalmedian $186 · 10th–90th $60$6920%5%10th90th$186$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
$173.78 / $2,951.21 / $8,128.31
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$707.95 / $8,128.31 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $181.97 / $691.83
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$81.28 / $190.55 / $977.24
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $912.01 / $4,168.69
BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$512.86 / $1,348.96 / $6,309.57
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $354.81 / $457.09
BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$151.36 / $575.44 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $162.18 / $309.03
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $239.88 / $2,398.83
Moda Health
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$707.95 / $3,235.94 / $8,709.64
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $181.97 / $575.44
Moda Health
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$81.28 / $141.25 / $831.76
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $162.18 / $478.63
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $234.42 / $489.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $1,819.70 / $9,332.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $141.25 / $323.59