go back

Minnesota 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 $724 · 10th–90th $0$2,5120%10%10th90th$724Professionalmedian $251 · 10th–90th $79$9770%5%10%10th90th$251$0.0$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
$57.54 / $1,380.38 / $3,548.13
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,290.87 / $2,290.87 / $2,290.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $181.97 / $776.25
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$81.28 / $177.83 / $977.24
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1,995.26 / $7,079.46
BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$0.02 / $0.02 / $0.02
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $331.13 / $831.76
BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$158.49 / $467.74 / $1,258.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $912.01 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $316.23 / $1,000.00
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $851.14 / $1,659.59
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $295.12 / $812.83
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $323.59 / $1,445.44
Medica
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$489.78 / $1,949.84 / $2,089.30
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $346.74 / $891.25
Medica
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$812.83 / $812.83 / $812.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $1,862.09 / $5,370.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $208.93 / $645.65