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Rhode Island 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
$1,513.56 / $1,819.70 / $3,981.07
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,467.37 / $3,715.35 / $4,466.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $223.87 / $1,096.48
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$109.65 / $302.00 / $1,621.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $165.96 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $125.89 / $398.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $1,412.54 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $147.91 / $363.08