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Nevada 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
$95.50 / $1,862.09 / $5,011.87
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$741.31 / $741.31 / $741.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $97.72 / $380.19
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$87.10 / $144.54 / $524.81
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $89.13 / $95.50
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$69.18 / $104.71 / $147.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $74.13 / $114.82
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$77.62 / $114.82 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $95.50 / $162.18
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $85.11 / $162.18
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $75.86 / $151.36
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $102.33 / $165.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $1,288.25 / $2,041.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $95.50 / $165.96