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Minnesota 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 $1,514 · 10th–90th $214–$4,5710%5%10th90th$1,514Professionalmedian $363 · 10th–90th $151–$8510%5%10th90th$363$50.0$200.0$1.0K$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
$102.33 / $1,348.96 / $3,388.44
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,318.26 / $3,801.89 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $194.98 / $537.03
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$154.88 / $588.84 / $2,041.74
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $1,737.80 / $4,073.80
BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,089.30 / $3,388.44 / $9,549.93
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $363.08 / $691.83
BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$288.40 / $549.54 / $1,047.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $724.44 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $436.52 / $812.83
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $660.69 / $1,348.96
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $407.38 / $724.44
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $309.03 / $2,884.03
Medica
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,318.26 / $2,630.27 / $5,248.07
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $380.19 / $1,023.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $2,290.87 / $5,370.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $281.84 / $602.56