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Missouri 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
$71.55 / $1,184.00 / $5,691.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.40 / $88.23 / $242.46
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$87.89 / $132.35 / $457.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.88 / $70.06 / $116.83
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$83.82 / $105.09 / $175.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.56 / $107.73 / $187.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.01 / $105.67 / $332.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.89 / $167.52 / $2,500.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $815.00 / $1,351.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.46 / $148.34 / $214.52