go back

Idaho 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 $1,738 · 10th–90th $257–$3,8900%10%10th90th$1,738Professionalmedian $240 · 10th–90th $105–$6310%5%10%10th90th$240$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$295.12 / $1,412.54 / $4,466.84
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$851.14 / $2,630.27 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $213.80 / $537.03
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$181.97 / $346.74 / $3,162.28
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $1,148.15 / $2,454.71
BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$676.08 / $1,778.28 / $3,630.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $288.40 / $380.19
BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$269.15 / $524.81 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $575.44 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $194.98 / $331.13
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $263.03 / $645.65
Moda Health
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$851.14 / $2,570.40 / $3,890.45
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $251.19 / $457.09
Moda Health
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$181.97 / $346.74 / $3,162.28
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $2,041.74 / $2,951.21
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,454.71 / $3,388.44 / $4,466.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $263.03 / $398.11
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $199.53 / $977.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $2,630.27 / $4,466.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $204.17 / $363.08