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Missouri 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 $186$5,3700%5%10th90th$1,698Professionalmedian $219 · 10th–90th $102$7240%5%10th90th$219$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
$134.90 / $1,659.59 / $5,495.41
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,023.29 / $2,818.38 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $190.55 / $630.96
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$181.97 / $346.74 / $1,096.48
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $91.20 / $173.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $1,819.70 / $4,168.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $123.03 / $199.53
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$144.54 / $181.97 / $295.12
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $204.17 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $208.93 / $371.54
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $229.09 / $2,238.72
Medica
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,698.24 / $2,398.83 / $2,454.71
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $331.13 / $3,467.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $1,047.13 / $2,089.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $186.21 / $346.74