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Massachusetts 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 $1,698 · 10th–90th $145$3,6310%10%10th90th$1,698Professionalmedian $219 · 10th–90th $95$6310%10%10th90th$219$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$186.21 / $1,737.80 / $3,388.44
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$363.08 / $2,089.30 / $4,786.30
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $181.97 / $446.68
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$141.25 / $389.05 / $1,023.29
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $1,862.09 / $30,199.52
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $204.17 / $537.03
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $104.71 / $245.47
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $213.80 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $213.80 / $436.52
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $114.82 / $3,311.31
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $269.15 / $338.84
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $2,511.89 / $7,079.46
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $218.78 / $489.78
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $1,905.46 / $3,388.44
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $223.87 / $229.09
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $1,862.09 / $30,199.52
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $204.17 / $537.03
Tufts
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $1,288.25 / $2,344.23
Tufts
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $158.49 / $302.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $2,344.23 / $5,623.41
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $223.87 / $512.86
United
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13