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Louisiana 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 $1,259 · 10th–90th $240$3,6310%5%10th90th$1,259Professionalmedian $182 · 10th–90th $87$5130%5%10th90th$182$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
$158.49 / $1,148.15 / $3,467.37
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$831.76 / $2,041.74 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $162.18 / $380.19
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$131.83 / $275.42 / $812.83
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $100.00 / $107.15
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$120.23 / $147.91 / $275.42
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $1,230.27 / $1,949.84
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $162.18 / $269.15
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $977.24 / $977.24
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $177.83 / $281.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $1,096.48 / $2,454.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $158.49 / $309.03
United
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$89.13 / $371.54 / $380.19