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Arkansas 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

Facilitymedian $1,000 · 10th–90th $178–$2,0420%10%10th90th$1,000Professionalmedian $195 · 10th–90th $102–$5250%5%10%10th90th$195$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $1,071.52 / $2,041.74
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$380.19 / $1,288.25 / $2,818.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $186.21 / $338.84
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$162.18 / $338.84 / $954.99
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $870.96 / $1,174.90
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $158.49 / $281.84
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $134.90 / $380.19
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $223.87 / $223.87
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $724.44 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $213.80 / $380.19
Qualchoice
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $229.09 / $457.09
Qualchoice
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$245.47 / $295.12 / $645.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $1,148.15 / $2,511.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $181.97 / $346.74