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Massachusetts 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
$100.00 / $1,819.70 / $3,715.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $97.72 / $302.00
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$128.82 / $338.84 / $549.54
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $630.96 / $2,818.38
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $117.49 / $281.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $67.61 / $154.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $151.36 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $131.83 / $239.88
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $109.65 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $147.91 / $199.53
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $2,041.74 / $3,467.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $123.03 / $263.03
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,584.89 / $1,584.89
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $630.96 / $2,818.38
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $117.49 / $281.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,862.09 / $2,818.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $123.03 / $263.03