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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)

Facilitymedian $1,380 · 10th–90th $71–$2,5120%10%20%10th90th$1,380Professionalmedian $186 · 10th–90th $60–$7410%5%10th90th$186$50.0$100.0$200.0$500.0$1.0K$2.0K$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
$60.26 / $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
$54.95 / $154.88 / $588.84
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$81.28 / $194.98 / $1,000.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $165.96 / $562.34
BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$169.82 / $245.47 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $177.83 / $645.65
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $181.97 / $1,230.27
Medica
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$776.25 / $912.01 / $1,819.70
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $309.03 / $891.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $2,041.74 / $2,041.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $158.49 / $489.78