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Massachusetts 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 $1,514 · 10th–90th $72$3,5480%10%10th90th$1,514Professionalmedian $191 · 10th–90th $60$6760%10%10th90th$191$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$186.21 / $1,819.70 / $3,548.13
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$208.93 / $1,778.28 / $4,570.88
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
$87.10 / $213.80 / $1,148.15
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $630.96 / $2,818.38
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $190.55 / $707.95
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $67.61 / $158.49
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $363.08 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $169.82 / $549.54
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $74.13 / $3,311.31
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $354.81 / $457.09
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $2,041.74 / $3,467.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $218.78 / $630.96
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $1,318.26 / $1,949.84
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $186.21 / $194.98
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $630.96 / $2,818.38
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $190.55 / $707.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $1,862.09 / $2,818.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $173.78 / $645.65