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North Dakota 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)

Facilitymedian $95 · 10th–90th $58–$8,5110%20%10th90th$95Professionalmedian $148 · 10th–90th $62–$2820%5%10%10th90th$148$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $95.50 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $95.50 / $213.80
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$165.96 / $165.96 / $190.55
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $154.88 / $234.42
BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$173.78 / $229.09 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $147.91 / $269.15
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $100.00 / $181.97
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $169.82 / $575.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $2,041.74 / $2,041.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $123.03 / $218.78