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California 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 $3,802 · 10th–90th $692$12,0230%10%10th90th$3,802Professionalmedian $117 · 10th–90th $50$5130%10%10th90th$117$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$549.54 / $3,548.13 / $13,803.84
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$831.76 / $1,513.56 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $102.33 / $537.03
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$72.44 / $141.25 / $512.86
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $83.18 / $154.88
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$72.44 / $125.89 / $199.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $4,466.84 / $12,882.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $87.10 / $181.97
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$74.13 / $104.71 / $338.84
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $3,235.94 / $6,760.83
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $83.18 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $97.72 / $177.83
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $72.44 / $147.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $100.00 / $194.98
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $1,479.11 / $1,698.24
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $1,819.70 / $1,819.70
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $128.82
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $93.33 / $165.96
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $100.00 / $186.21
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $295.12
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $104.71 / $138.04
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $1,584.89 / $6,760.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $77.62 / $165.96
United
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$87.10 / $89.13 / $199.53