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Nebraska 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 $1,622 · 10th–90th $417$7,9430%10%10th90th$1,622Professionalmedian $282 · 10th–90th $68$7760%5%10th90th$282$50.0$200.0$1.0K$5.0K$20.0K

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
$645.65 / $2,691.53 / $8,511.38
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$524.81 / $1,071.52 / $1,621.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $309.03 / $1,174.90
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$79.43 / $245.47 / $602.56
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $109.65 / $478.63
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$74.13 / $147.91 / $870.96
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $6,456.54 / $12,589.25
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $194.98 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $331.13 / $707.95
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $281.84 / $851.14
Medica
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$7,413.10 / $7,413.10 / $7,413.10
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $354.81 / $891.25
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $389.05 / $562.34
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $181.97 / $776.25
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $3,801.89 / $4,365.16
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,548.82 / $4,466.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $173.78 / $478.63