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Wyoming 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
$870.96 / $870.96 / $1,513.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $104.71 / $562.34
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$85.11 / $288.40 / $562.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $229.09 / $316.23
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$117.49 / $213.80 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $131.83 / $245.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $295.12 / $3,090.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $151.36 / $295.12