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Kentucky 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 $1,698 · 10th–90th $158$3,8900%5%10th90th$1,698Professionalmedian $182 · 10th–90th $98$4370%5%10%10th90th$182$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
$125.89 / $331.13 / $3,630.78
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$933.25 / $3,548.13 / $5,248.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $181.97 / $371.54
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$162.18 / $316.23 / $891.25
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $125.89 / $331.13
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$144.54 / $263.03 / $501.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $2,137.96 / $2,951.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $91.20 / $147.91
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$114.82 / $134.90 / $223.87
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $125.89 / $165.96
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $204.17 / $245.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $177.83 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $223.87 / $891.25
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $134.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $1,445.44 / $2,630.27
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $186.21 / $354.81