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Arizona 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 $2,344 · 10th–90th $407$5,6230%5%10%10th90th$2,344Professionalmedian $224 · 10th–90th $102$8320%5%10th90th$224$50.0$200.0$1.0K$5.0K$20.0K

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
$1,047.13 / $2,818.38 / $5,623.41
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$416.87 / $2,818.38 / $5,754.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $204.17 / $602.56
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$162.18 / $407.38 / $1,122.02
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $169.82 / $204.17
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$134.90 / $251.19 / $295.12
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $1,412.54 / $2,630.27
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $134.90 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $186.21 / $331.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $199.53 / $1,862.09
Medica
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$3,890.45 / $3,890.45 / $3,890.45
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $281.84 / $3,467.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $1,258.93 / $3,235.94
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $169.82 / $323.59