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Arkansas 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
$78.26 / $803.00 / $2,812.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.04 / $88.23 / $137.99
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$207.30 / $207.30 / $207.30
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$145.13 / $145.13 / $145.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.06 / $100.09 / $144.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.91 / $257.91 / $257.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.64 / $134.38 / $198.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.00 / $328.00 / $768.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.83 / $128.56 / $206.49