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Georgia 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 $3,388 · 10th–90th $741$8,7100%10%10th90th$3,388Professionalmedian $200 · 10th–90th $91$5620%10%10th90th$200$10.0$50.0$200.0$1.0K$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
$630.96 / $3,388.44 / $7,413.10
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$741.31 / $3,981.07 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $181.97 / $436.52
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$125.89 / $338.84 / $812.83
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $162.18 / $371.54
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$131.83 / $245.47 / $549.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $2,344.23 / $4,168.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $154.88 / $245.47
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$154.88 / $229.09 / $363.08
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $125.89 / $173.78
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $204.17 / $234.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $645.65 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $199.53 / $389.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $223.87 / $1,412.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
80
Typical Low / Median / Typical High
$8.13 / $8.13 / $15.85
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,019.95 / $4,570.88 / $6,760.83
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $251.19 / $316.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $1,995.26 / $3,090.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $173.78 / $407.38
United
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$363.08 / $363.08 / $363.08