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New Mexico 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 $363 · 10th–90th $145–$3,4670%10%10th90th$363Professionalmedian $186 · 10th–90th $98–$5250%10%20%10th90th$186$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$147.91 / $323.59 / $2,691.53
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,122.02 / $1,122.02 / $2,884.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $177.83 / $478.63
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$147.91 / $371.54 / $851.14
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $2,630.27 / $4,265.80
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $162.18 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $199.53 / $416.87
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $162.18
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $194.98 / $309.03
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $208.93 / $363.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $2,511.89 / $3,890.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $213.80 / $389.05