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North Dakota 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 $1,259 · 10th–90th $58–$2,6300%10%10th90th$1,259Professionalmedian $151 · 10th–90th $62–$3390%5%10%10th90th$151$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$57.54 / $97.72 / $2,187.76
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,318.26 / $1,318.26 / $2,630.27
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $123.03 / $269.15
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$100.00 / $288.40 / $549.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $154.88 / $239.88
BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$169.82 / $229.09 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $144.54 / $263.03
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $102.33 / $524.81
Medica
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,258.93 / $1,258.93 / $1,258.93
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $169.82 / $575.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $2,041.74 / $2,041.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $120.23 / $213.80