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New York 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 $3,467 · 10th–90th $251$10,2330%5%10%10th90th$3,467Professionalmedian $229 · 10th–90th $112$6460%10%10th90th$229$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
$218.78 / $3,235.94 / $12,022.64
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$707.95 / $3,311.31 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $199.53 / $501.19
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$162.18 / $338.84 / $891.25
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $100.00 / $177.83
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$151.36 / $186.21 / $295.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,630.78 / $5,011.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $190.55 / $512.86
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$229.09 / $281.84 / $758.58
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $1,258.93 / $4,073.80
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $275.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $177.83 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $251.19 / $851.14
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $114.82 / $302.00
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $346.74 / $616.60
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $177.83 / $177.83
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $245.47 / $407.38
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $416.87 / $2,570.40
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$204.17 / $204.17 / $3,388.44
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $281.84 / $281.84
Highmark BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$416.87 / $416.87 / $416.87
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $331.13 / $537.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $2,951.21 / $5,754.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $251.19 / $1,230.27
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $123.03 / $309.03
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $229.09 / $389.05