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Iowa 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 $490 · 10th–90th $110$4,2660%10%10th90th$490Professionalmedian $135 · 10th–90th $60$4070%10%10th90th$135$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$85.11 / $794.33 / $5,370.32
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,445.44 / $1,584.89 / $1,659.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $104.71 / $363.08
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$91.20 / $257.04 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $169.82 / $288.40
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $120.23 / $512.86
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $158.49 / $1,348.96
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $186.21 / $575.44
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $213.80 / $288.40
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $186.21 / $245.47
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $489.78 / $489.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,621.81 / $2,951.21
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $114.82 / $239.88
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $147.91 / $218.78