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Alaska rates for HCPCS 64493

Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.67 / $2,535.91 / $9,577.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,242.29 / $3,176.41 / $4,362.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.95 / $439.75 / $1,003.98
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$174.15 / $336.85 / $6,982.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.16 / $383.86 / $762.72
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.34 / $483.73 / $1,124.47
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.78 / $477.75 / $1,037.40
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.25 / $542.29 / $976.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.34 / $483.73 / $1,124.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.00 / $520.00 / $980.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.46 / $435.46 / $990.67