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North Dakota 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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.10 / $1,999.78 / $3,555.52
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,273.32 / $2,273.32 / $3,369.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.29 / $144.69 / $262.77
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$81.90 / $88.38 / $1,003.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.72 / $164.20 / $593.67
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$173.58 / $246.30 / $890.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.72 / $186.98 / $756.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.03 / $173.71 / $833.68
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$775.50 / $918.75 / $1,837.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.46 / $323.42 / $894.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.46 / $318.67 / $448.18