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Tennessee 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
$122.45 / $1,791.00 / $6,681.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.04 / $88.23 / $139.79
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$132.35 / $265.50 / $457.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.00 / $147.00 / $1,676.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.67 / $103.02 / $168.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.41 / $105.38 / $179.31
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $291.98 / $291.98
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.00 / $2,500.00 / $2,500.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $808.00 / $2,577.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.03 / $127.88 / $212.67