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New Jersey 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 $3,311 · 10th–90th $1,230–$8,9130%5%10%10th90th$3,311Professionalmedian $191 · 10th–90th $56–$7760%5%10th90th$191$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
$1,122.02 / $3,388.44 / $9,332.54
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,089.30 / $3,090.30 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $204.17 / $831.76
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$81.28 / $190.55 / $724.44
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,995.26 / $3,311.31
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $165.96 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $181.97 / $501.19
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $331.13 / $416.87
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398.83 / $2,398.83 / $2,398.83
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $173.78 / $457.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $2,630.27 / $6,606.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $144.54 / $363.08