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Florida 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
$75.43 / $1,623.00 / $8,529.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$439.04 / $1,332.21 / $1,629.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.03 / $79.88 / $138.96
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$175.17 / $364.50 / $954.69
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.27 / $107.70 / $140.34
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$130.51 / $136.58 / $231.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $323.00 / $323.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.90 / $98.69 / $175.70
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.00 / $2,674.00 / $6,584.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.07 / $88.05 / $107.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.81 / $107.01 / $161.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.00 / $1,950.00 / $5,107.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.50 / $102.72 / $175.97
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.45 / $74.81 / $74.81