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Rhode Island 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 $2,754 · 10th–90th $1,514–$5,3700%20%10th90th$2,754Professionalmedian $204 · 10th–90th $102–$7760%5%10th90th$204$100.0$200.0$500.0$1.0K$2.0K$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
$1,513.56 / $1,548.82 / $3,981.07
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,754.23 / $2,754.23 / $5,370.32
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $186.21 / $676.08
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$269.15 / $457.09 / $1,380.38
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $177.83 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $239.88 / $398.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,995.26 / $4,786.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $199.53 / $426.58
United
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$416.87 / $416.87 / $416.87