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New York 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 $2,818 · 10th–90th $110$9,5500%5%10%10th90th$2,818Professionalmedian $112 · 10th–90th $54$3800%10%10th90th$112$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$100.00 / $2,570.40 / $9,772.37
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$501.19 / $1,659.59 / $19,498.45
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $100.00 / $275.42
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$72.44 / $147.91 / $436.52
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $60.26 / $93.33
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$64.57 / $81.28 / $147.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,630.78 / $5,011.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $89.13 / $234.42
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$107.15 / $134.90 / $354.81
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $16,595.87
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $128.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $87.10 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $117.49 / $380.19
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $54.95 / $144.54
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $162.18 / $537.03
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $114.82 / $190.55
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $208.93 / $1,288.25
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$117.49 / $1,819.70 / $3,090.30
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $128.82 / $162.18
Highmark BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$114.82 / $190.55 / $239.88
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $154.88 / $398.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $2,511.89 / $4,897.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $114.82 / $512.86
United
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $58.88 / $151.36
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $107.15 / $186.21