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Idaho 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 $692 · 10th–90th $123$2,1880%10%10th90th$692Professionalmedian $126 · 10th–90th $51$4680%5%10th90th$126$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
$138.04 / $512.86 / $1,412.54
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$707.95 / $1,949.84 / $2,187.76
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $112.20 / $389.05
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$74.13 / $204.17 / $741.31
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $371.54 / $1,096.48
BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$269.15 / $562.34 / $1,659.59
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $134.90 / $181.97
BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$131.83 / $154.88 / $269.15
BCBS
Facility/Professional
Professional
Modifier
80
Typical Low / Median / Typical High
$15.14 / $21.88 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $93.33 / $151.36
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $125.89 / $512.86
Moda Health
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$691.83 / $1,318.26 / $2,187.76
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $123.03 / $223.87
Moda Health
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$74.13 / $177.83 / $741.31
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $125.89 / $186.21
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $91.20 / $190.55
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $1,819.70 / $9,332.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $95.50 / $162.18