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Delaware 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
$56.86 / $98.24 / $1,508.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.09 / $87.28 / $103.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.08 / $97.90 / $170.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.00 / $143.00 / $143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.34 / $120.52 / $215.46