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North Carolina 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
$92.44 / $790.80 / $3,707.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.59 / $94.18 / $162.47
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$87.89 / $269.20 / $414.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.23 / $161.06 / $240.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $606.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.98 / $121.68 / $206.14
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.00 / $109.82 / $161.44
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.00 / $116.00 / $125.00
Medcost
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$182.28 / $182.28 / $182.28
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.75 / $127.30 / $162.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.00 / $896.00 / $2,229.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.06 / $131.88 / $231.88
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $291.98 / $291.98
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.00 / $575.00 / $2,500.00