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New York 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 $3,715 · 10th–90th $224$11,7490%5%10%10th90th$3,715Professionalmedian $204 · 10th–90th $91$6310%10%10th90th$204$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
$190.55 / $3,801.89 / $12,882.50
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,258.93 / $3,981.07 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $181.97 / $467.74
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$128.82 / $281.84 / $812.83
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $87.10 / $181.97
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$123.03 / $147.91 / $288.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,630.78 / $5,011.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $173.78 / $467.74
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$208.93 / $257.04 / $691.83
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $1,258.93 / $4,073.80
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $251.19
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $154.88 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $223.87 / $758.58
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $97.72 / $257.04
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $316.23 / $1,148.15
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $165.96 / $165.96
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $223.87 / $371.54
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $407.38 / $2,290.87
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$223.87 / $724.44 / $3,090.30
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $251.19 / $316.23
Highmark BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$199.53 / $380.19 / $467.74
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $302.00 / $512.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $2,951.21 / $5,754.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $239.88 / $977.24
United
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$89.13 / $158.49 / $363.08
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $104.71 / $263.03
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $208.93 / $363.08