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Washington, DC 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 $1,585 · 10th–90th $100–$4,0740%10%10th90th$1,585Professionalmedian $115 · 10th–90th $60–$2950%5%10%10th90th$115$50.0$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
$100.00 / $1,698.24 / $4,073.80
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$173.78 / $173.78 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $112.20 / $257.04
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$83.18 / $173.78 / $363.08
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $489.78 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $102.33 / $218.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $131.83 / $223.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $549.54 / $5,888.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $107.15 / $213.80