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North Dakota 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 $1,905 · 10th–90th $141–$4,3650%10%20%10th90th$1,905Professionalmedian $251 · 10th–90th $91–$6030%5%10th90th$251$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
$89.13 / $1,318.26 / $6,456.54
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,288.25 / $3,890.45 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $177.83 / $398.11
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$131.83 / $467.74 / $933.25
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $257.04 / $436.52
BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$263.03 / $380.19 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $239.88 / $489.78
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $173.78 / $1,096.48
Medica
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,041.74 / $2,344.23 / $2,691.53
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $309.03 / $776.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,778.28 / $1,819.70 / $2,041.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $204.17 / $389.05