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Florida 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 $1,096 · 10th–90th $1$6,7610%5%10th90th$1,096Professionalmedian $100 · 10th–90th $49$3550%10%10th90th$100$0.5$2.0$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
$1.10 / $1,258.93 / $6,760.83
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$0.55 / $549.54 / $2,290.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $91.20 / $269.15
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$74.13 / $151.36 / $537.03
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $83.18 / $117.49
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$69.18 / $131.83 / $204.17
AvMed
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $1,995.26 / $9,772.37
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $79.43 / $97.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $87.10 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $89.13 / $162.18
Florida Blue
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $2,754.23 / $6,606.93
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $74.13 / $97.72
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $38.90 / $123.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $1,548.82 / $3,890.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $74.13 / $141.25
United
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $69.18 / $97.72