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Iowa 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 $2,239 · 10th–90th $178$3,8020%10%10th90th$2,239Professionalmedian $224 · 10th–90th $89$8320%5%10th90th$224$20.0$100.0$500.0$2.0K$10.0K

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
$128.82 / $2,290.87 / $5,011.87
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$954.99 / $2,238.72 / $3,548.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $186.21 / $630.96
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$125.89 / $354.81 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $263.03 / $524.81
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $208.93 / $660.69
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $371.54 / $2,951.21
Medica
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,230.27 / $1,230.27 / $1,548.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $338.84 / $776.25
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $389.05 / $537.03
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $338.84 / $446.68
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $467.74 / $467.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $2,238.72 / $5,128.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $194.98 / $446.68
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $269.15 / $398.11