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Louisiana 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
$245.47 / $1,288.25 / $3,715.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $97.72 / $181.97
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$91.20 / $158.49 / $190.55
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $91.20 / $91.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $239.88 / $1,230.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $95.50 / $151.36
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $354.81 / $354.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $102.33 / $154.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $512.86 / $1,258.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $91.20 / $169.82