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Alabama rates for HCPCS 64494

Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; second level (List separately in addition to code for primary procedure)

Facilitymedian $1,230 · 10th–90th $87–$2,2390%5%10%10th90th$1,230Professionalmedian $105 · 10th–90th $50–$3240%5%10th90th$105$10.0$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
$79.43 / $870.96 / $1,737.80
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$407.38 / $794.33 / $4,073.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $97.72 / $251.19
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$70.79 / $154.88 / $478.63
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $79.43 / $89.13
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$66.07 / $131.83 / $194.98
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,412.54 / $1,905.46
BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,778.28 / $2,089.30 / $2,818.38
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $100.00 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $93.33 / $173.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $588.84 / $1,348.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $77.62 / $173.78