go back

Arizona 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
$187.89 / $2,202.00 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.40 / $88.23 / $319.82
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$130.26 / $132.35 / $457.57
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$131.90 / $131.90 / $134.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.71 / $446.91 / $730.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.04 / $54.13 / $77.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.12 / $98.38 / $168.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.61 / $97.33 / $1,126.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.02 / $120.57 / $575.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.00 / $1,535.00 / $2,175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.94 / $108.00 / $211.70