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Alabama rates for HCPCS 64490

Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; single level

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $741.31 / $1,737.80
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$588.84 / $1,023.29 / $2,187.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $213.80 / $467.74
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$162.18 / $588.84 / $912.01
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $186.21 / $489.78
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$138.04 / $251.19 / $281.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,412.54 / $1,905.46
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,778.28 / $2,089.30 / $2,818.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $234.42 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $194.98 / $371.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $1,174.90 / $2,511.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $162.18 / $371.54