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Florida 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
$53.93 / $2,747.00 / $10,632.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.49 / $79.39 / $121.59
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$122.61 / $4,526.28 / $4,526.28
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.57 / $86.57 / $86.57
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$129.85 / $129.85 / $129.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $323.00 / $323.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.28 / $99.76 / $177.01
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.00 / $2,674.00 / $6,584.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.56 / $87.86 / $108.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.55 / $107.01 / $161.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.00 / $1,950.00 / $5,107.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.73 / $103.91 / $178.39
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.70 / $74.55 / $74.55