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Arkansas 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 $1,072 · 10th–90th $204$2,5120%10%10th90th$1,072Professionalmedian $191 · 10th–90th $87$5370%5%10%10th90th$191$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$112.20 / $870.96 / $2,290.87
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,288.25 / $2,041.74 / $3,715.35
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $169.82 / $354.81
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$131.83 / $288.40 / $1,023.29
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $870.96 / $1,174.90
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $134.90 / $263.03
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $117.49 / $323.59
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $204.17 / $204.17
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $724.44 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $186.21 / $346.74
Qualchoice
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $162.18 / $426.58
Qualchoice
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$208.93 / $316.23 / $676.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $1,148.15 / $2,511.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $162.18 / $316.23