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Wyoming 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
$645.29 / $3,119.70 / $10,752.26
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,559.85 / $1,559.85 / $3,584.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.81 / $233.50 / $1,508.40
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$161.37 / $161.37 / $185.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.00 / $188.00 / $778.00
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$175.50 / $339.00 / $1,167.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.33 / $225.88 / $508.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.00 / $293.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.23 / $342.73 / $712.39