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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
$52.48 / $104.71 / $1,513.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $104.71 / $257.04
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$89.13 / $257.04 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $97.72 / $169.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $144.54 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $91.20 / $162.18