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Arizona rates for HCPCS 64491

Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; second level (List separately in addition to code for primary procedure)

Facilitymedian $1,738 · 10th–90th $162$5,6230%5%10th90th$1,738Professionalmedian $117 · 10th–90th $58$4570%5%10%10th90th$117$20.0$100.0$500.0$2.0K

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
$1,230.27 / $2,630.27 / $5,623.41
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$323.59 / $741.31 / $2,398.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $109.65 / $407.38
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$87.10 / $186.21 / $524.81
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $93.33 / $97.72
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$72.44 / $131.83 / $144.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $489.78 / $912.01
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $69.18 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $97.72 / $165.96
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $102.33 / $1,412.54
Medica
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,089.30 / $2,089.30 / $2,089.30
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $131.83 / $2,754.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $1,122.02 / $2,137.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $89.13 / $151.36