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Kansas 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 $1,660 · 10th–90th $87$5,8880%5%10th90th$1,660Professionalmedian $98 · 10th–90th $50$2190%10%10th90th$98$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
$87.10 / $1,905.46 / $6,456.54
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$549.54 / $1,258.93 / $3,235.94
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $85.11 / $199.53
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$72.44 / $125.89 / $295.12
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $83.18 / $93.33
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$61.66 / $81.28 / $138.04
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $1,047.13 / $1,122.02
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $97.72 / $147.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $630.96 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $97.72 / $154.88
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $123.03 / $741.31
Medica
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,621.81 / $1,621.81 / $1,621.81
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $131.83 / $1,819.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $537.03 / $2,818.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $87.10 / $138.04