go back

West Virginia 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 $1,318 · 10th–90th $490$8,3180%10%10th90th$1,318Professionalmedian $186 · 10th–90th $85$3020%10%20%10th90th$186$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
$489.78 / $1,584.89 / $3,388.44
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$489.78 / $1,258.93 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $151.36 / $239.88
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$123.03 / $288.40 / $302.00
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $109.65 / $154.88
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $338.84 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $154.88 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $190.55 / $831.76
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $2,454.71 / $3,715.35
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$891.25 / $4,570.88 / $7,244.36
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $138.04 / $138.04
Highmark BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$186.21 / $186.21 / $186.21
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $691.83 / $2,454.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $128.82 / $363.08
United
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$380.19 / $380.19 / $380.19