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Vermont 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
Professional
Modifier
Low / Median / High Price
$60.26 / $158.49 / $630.96
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$83.18 / $323.59 / $1,148.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,019.95 / $3,162.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $165.96 / $346.74
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $251.19 / $407.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $234.42 / $416.87