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Utah 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
$90.90 / $3,038.00 / $5,743.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.32 / $98.10 / $353.08
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$130.26 / $135.38 / $457.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.65 / $107.21 / $170.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.45 / $89.98 / $111.24
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.08 / $162.18 / $250.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $4,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.06 / $118.36 / $174.60