go back

Vermont 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
Professional
Modifier
Low / Median / High Price
$56.04 / $70.83 / $111.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,736.70 / $1,736.70 / $2,041.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.89 / $213.89 / $213.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $121.96 / $217.66
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.29 / $126.27 / $217.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.47 / $156.09 / $397.43