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West Virginia 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
$91.07 / $808.40 / $1,200.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.04 / $88.23 / $141.47
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$192.14 / $192.14 / $192.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.72 / $76.84 / $105.79
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.36 / $68.30 / $68.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.18 / $102.18 / $102.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.43 / $106.11 / $256.64
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.73 / $1,549.46 / $2,669.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.81 / $136.44 / $190.97