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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

Facilitymedian $3,090 · 10th–90th $245$6,0260%10%20%10th90th$3,090Professionalmedian $234 · 10th–90th $95$5250%5%10th90th$234$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $2,754.23 / $6,025.60
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$3,090.30 / $3,162.28 / $3,630.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $177.83 / $380.19
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$208.93 / $389.05 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $229.09 / $549.54
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $426.58 / $2,511.89
Moda Health
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,818.38 / $3,235.94 / $4,365.16
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $398.11 / $891.25
Moda Health
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$204.17 / $389.05 / $5,248.07
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $630.96 / $933.25
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $257.04 / $794.33
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $181.97 / $426.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $426.58 / $426.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $346.74 / $870.96