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Delaware 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
$85.11 / $173.78 / $2,511.89
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,445.44 / $1,513.56 / $4,786.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $186.21 / $426.58
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$123.03 / $338.84 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $162.18 / $316.23
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $2,511.89 / $2,951.21
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83
Highmark BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$263.03 / $263.03 / $263.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $436.52 / $5,011.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $154.88 / $338.84