go back

Utah rates for HCPCS 64461

Paravertebral block (PVB) (paraspinous block), thoracic; single injection site (includes imaging guidance, when performed)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $3,162.28 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $138.04 / $446.68
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$199.53 / $346.74 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $151.36 / $229.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $169.82
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,230.27 / $2,754.23
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,584.89 / $1,862.09 / $4,073.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $223.87 / $398.11
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $147.91 / $239.88
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $194.98 / $263.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $2,818.38 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $125.89 / $204.17