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Connecticut 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
$190.55 / $4,365.16 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $97.72 / $302.00
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$128.82 / $302.00 / $524.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $2,187.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $120.23 / $181.97
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$109.65 / $177.83 / $263.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $151.36 / $251.19
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $144.54 / $204.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $3,467.37 / $6,760.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $117.49 / $245.47