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Alaska rates for HCPCS 64492

Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; third and any additional level(s) (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.71 / $1,692.64 / $9,577.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.04 / $119.96 / $458.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.71 / $239.98 / $420.36
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.56 / $330.22 / $641.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.75 / $283.35 / $569.40
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.50 / $350.00 / $534.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.56 / $330.22 / $641.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.25 / $334.40 / $538.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.46 / $376.34 / $567.52