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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)

Facilitymedian $263 · 10th–90th $55–$1,7780%10%10th90th$263Professionalmedian $107 · 10th–90th $58–$3630%10%10th90th$107$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$0.98 / $1,698.24 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $97.72 / $245.47
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$213.80 / $213.80 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $147.91 / $309.03
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $186.21 / $660.69
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $257.04 / $489.78
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $380.19 / $512.86
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $169.82 / $457.09
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $123.03 / $239.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $169.82 / $537.03