go back

Oklahoma 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
$131.60 / $2,444.00 / $6,435.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.00 / $85.75 / $103.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,832.80 / $2,927.28 / $4,626.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.92 / $93.80 / $128.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $103.95 / $154.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.38 / $94.76 / $1,130.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.06 / $116.69 / $2,500.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.00 / $610.00 / $1,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.11 / $103.83 / $153.00