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Mississippi 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 $1,047 · 10th–90th $427–$2,8180%10%10th90th$1,047Professionalmedian $155 · 10th–90th $58–$3630%5%10%10th90th$155$50.0$200.0$1.0K$5.0K

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
$416.87 / $1,380.38 / $3,235.94
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$707.95 / $954.99 / $1,905.46
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $147.91 / $316.23
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$81.28 / $190.55 / $501.19
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $120.23 / $489.78
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$74.13 / $100.00 / $181.97
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $218.78 / $218.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $154.88 / $338.84
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
$223.87 / $575.44 / $1,479.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $154.88 / $354.81