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Alabama 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 $1,445 · 10th–90th $263–$2,5700%10%10th90th$1,445Professionalmedian $200 · 10th–90th $87–$5500%5%10th90th$200$20.0$100.0$500.0$2.0K

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
$138.04 / $891.25 / $1,737.80
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$794.33 / $1,737.80 / $2,630.27
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $181.97 / $398.11
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$125.89 / $288.40 / $831.76
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $87.10 / $177.83
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$120.23 / $257.04 / $380.19
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,412.54 / $1,905.46
BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,778.28 / $2,089.30 / $2,818.38
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $213.80 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $177.83 / $331.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $1,174.90 / $2,454.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $144.54 / $363.08