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New Jersey 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
$68.33 / $2,705.50 / $8,419.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.05 / $87.21 / $140.06
AmeriHealth
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$162.41 / $162.41 / $162.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.66 / $126.49 / $306.76
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.25 / $123.42 / $153.85
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.20 / $101.59 / $211.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,529.00 / $3,352.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.78 / $133.68 / $267.39