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Colorado 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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.54 / $1,278.91 / $6,028.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$545.28 / $1,084.00 / $2,243.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.93 / $80.54 / $179.59
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$74.17 / $141.66 / $701.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.73 / $71.59 / $113.01
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$63.37 / $80.58 / $104.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.28 / $100.24 / $157.88
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.55 / $89.55 / $144.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.47 / $100.41 / $179.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$1.59 / $1.59 / $2.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.00 / $1,491.00 / $2,720.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.52 / $132.08 / $248.02