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Nationwide rates for HCPCS 64495

Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; third and any additional level(s) (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $1,862.09 / $7,585.78
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$269.15 / $954.99 / $2,951.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $87.10 / $239.88
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$77.62 / $186.21 / $436.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $3,801.89 / $10,000.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $77.62 / $147.91
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$66.07 / $114.82 / $213.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $281.84 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $104.71 / $218.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $1,202.26 / $3,630.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $85.11 / $169.82