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Colorado 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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $912.01 / $5,888.44
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$407.38 / $831.76 / $1,905.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $104.71 / $281.84
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$85.11 / $251.19 / $436.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $83.18 / $125.89
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$72.44 / $85.11 / $151.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $102.33 / $102.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $109.65 / $177.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $104.71 / $1,047.13
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $97.72 / $104.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,479.11 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $112.20 / $190.55