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Wyoming 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
$57.82 / $95.92 / $5,721.86
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$211.29 / $211.29 / $1,054.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.00 / $193.00 / $317.00
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$180.00 / $295.50 / $475.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.82 / $137.44 / $249.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.00 / $293.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.11 / $190.86 / $332.78