go back

Kansas 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
$102.33 / $1,862.09 / $7,413.10
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$977.24 / $1,380.38 / $2,089.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $91.20 / $213.80
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$85.11 / $154.88 / $323.59
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $58.88 / $91.20
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$83.18 / $102.33 / $147.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $1,047.13 / $1,122.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $169.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $107.15 / $186.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $120.23 / $478.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $144.54 / $2,754.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $537.03 / $1,905.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $97.72 / $154.88