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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.40 / $1,592.36 / $8,359.42
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$487.39 / $1,295.95 / $9,003.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.95 / $152.62 / $211.93
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$128.01 / $287.77 / $301.39
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.34 / $102.41 / $140.81
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.15 / $252.10 / $365.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.97 / $153.97 / $153.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.49 / $184.29 / $425.65
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$548.67 / $2,097.94 / $4,008.81
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$900.86 / $3,451.31 / $6,799.98
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.65 / $137.65 / $137.65
Highmark BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$179.91 / $179.91 / $179.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.72 / $252.10 / $425.02