go back

Minnesota 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 $2,089 · 10th–90th $219$4,6770%5%10%10th90th$2,089Professionalmedian $324 · 10th–90th $126$8130%5%10th90th$324$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
$151.36 / $1,949.84 / $3,630.78
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,288.25 / $4,265.80 / $5,754.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $177.83 / $446.68
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$128.82 / $302.00 / $1,584.89
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $2,238.72 / $6,606.93
BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,089.30 / $3,388.44 / $9,549.93
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $323.59 / $645.65
BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$245.47 / $489.78 / $954.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $676.08 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $380.19 / $758.58
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $630.96 / $1,258.93
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $363.08 / $616.60
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $295.12 / $2,290.87
Medica
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$891.25 / $2,570.40 / $4,365.16
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $346.74 / $831.76
Medica
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$933.25 / $933.25 / $933.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $2,290.87 / $5,370.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $245.47 / $537.03