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Minnesota 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 $380 · 10th–90th $0$2,3440%10%10th90th$380Professionalmedian $170 · 10th–90th $72$4070%10%10th90th$170$0.0$0.2$2.0$20.0$200.0$2.0K

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
$48.98 / $794.33 / $1,659.59
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,202.26 / $2,344.23 / $2,818.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $97.72 / $407.38
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$72.44 / $144.54 / $407.38
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1,995.26 / $7,079.46
BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$0.02 / $0.02 / $0.02
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $173.78 / $323.59
BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$138.04 / $263.03 / $489.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $338.84 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $204.17 / $389.05
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $323.59 / $630.96
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $186.21 / $338.84
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $173.78 / $1,445.44
Medica
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$467.74 / $1,000.00 / $2,344.23
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $173.78 / $478.63
Medica
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$467.74 / $467.74 / $467.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $1,862.09 / $5,370.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $131.83 / $281.84