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North Carolina 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 $871 · 10th–90th $85$2,4550%10%10th90th$871Professionalmedian $120 · 10th–90th $51$3800%10%10th90th$120$1.0$5.0$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
$81.28 / $630.96 / $1,659.59
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$645.65 / $1,819.70 / $2,570.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $100.00 / $346.74
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$72.44 / $151.36 / $457.09
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $85.11 / $147.91
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$97.72 / $125.89 / $223.87
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $204.17
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $147.91 / $223.87
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $602.56 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $102.33 / $181.97
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $138.04 / $213.80
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $89.13 / $147.91
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,778.28 / $1,778.28 / $2,691.53
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $134.90 / $181.97
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $794.33 / $1,995.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $83.18 / $162.18
United
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$89.13 / $89.13 / $186.21
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $1,479.11 / $1,479.11
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $1,819.70 / $1,819.70