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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
$96.18 / $1,165.00 / $6,419.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$676.68 / $823.50 / $1,609.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.40 / $93.12 / $158.94
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$85.62 / $188.15 / $560.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.22 / $82.44 / $130.11
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$74.31 / $94.37 / $111.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.23 / $110.09 / $174.16
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.79 / $97.35 / $158.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.39 / $114.82 / $192.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.00 / $1,491.00 / $2,720.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.04 / $146.87 / $231.19
United
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$204.69 / $204.69 / $204.69