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Mississippi 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $1,047.13 / $1,995.26
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,548.82 / $1,548.82 / $1,548.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $181.97 / $389.05
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$204.17 / $380.19 / $478.63
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $177.83 / $239.88
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$131.83 / $257.04 / $331.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $562.34 / $616.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $295.12 / $512.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $489.78 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $229.09 / $371.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $1,000.00 / $2,041.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $186.21 / $436.52