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Maryland 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
$0.98 / $2.00 / $275.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.05 / $91.89 / $277.48
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$132.35 / $211.29 / $457.57
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.81 / $64.81 / $82.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.00 / $330.00 / $641.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.35 / $103.67 / $196.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.43 / $129.69 / $193.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.00 / $36.00 / $41.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.11 / $113.93 / $191.99
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.23 / $115.62 / $143.47