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Florida 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
$137.41 / $2,323.98 / $8,529.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$794.00 / $2,302.40 / $5,435.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.59 / $142.47 / $232.72
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$178.35 / $331.04 / $1,885.09
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.48 / $155.72 / $338.27
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$142.05 / $233.57 / $415.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $476.39 / $567.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.18 / $165.21 / $305.00
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,104.00 / $3,151.00 / $7,804.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.98 / $154.86 / $189.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $213.20 / $314.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.00 / $2,671.00 / $6,077.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.04 / $196.78 / $345.40
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.70 / $135.83 / $135.83