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Illinois 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 $1,288 · 10th–90th $112–$4,4670%5%10th90th$1,288Professionalmedian $191 · 10th–90th $58–$7240%5%10%10th90th$191$0.2$2.0$20.0$200.0$2.0K

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
$112.20 / $1,230.27 / $4,677.35
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$229.09 / $1,819.70 / $3,019.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $186.21 / $691.83
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$85.11 / $190.55 / $1,148.15
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $64.57 / $229.09
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$74.13 / $102.33 / $346.74
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $724.44 / $1,412.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $208.93 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $147.91 / $389.05
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $363.08 / $1,023.29
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $74.13 / $302.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $851.14 / $2,290.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $147.91 / $302.00