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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
$0.98 / $1,698.24 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $95.50 / $239.88
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$213.80 / $213.80 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $239.88 / $416.87
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $302.00 / $1,698.24
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $257.04 / $489.78
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $331.13 / $537.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $144.54 / $457.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $123.03 / $239.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $251.19 / $537.03