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California 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)

Facilitymedian $4,169 · 10th–90th $871$12,8820%10%10th90th$4,169Professionalmedian $91 · 10th–90th $49$3890%10%10th90th$91$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
$912.01 / $4,897.79 / $15,848.93
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$794.33 / $1,445.44 / $2,570.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $87.10 / $331.13
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$74.13 / $128.82 / $436.52
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $43.65 / $56.23
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$85.11 / $85.11 / $257.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $4,466.84 / $12,882.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $89.13 / $181.97
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$75.86 / $107.15 / $338.84
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $3,235.94 / $6,760.83
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $85.11 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $97.72 / $181.97
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $74.13 / $151.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $104.71 / $194.98
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $56.23 / $2,630.27
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $2,511.89 / $2,511.89
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $128.82
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $95.50 / $169.82
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $100.00 / $186.21
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $295.12
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $109.65 / $141.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $1,584.89 / $6,760.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $77.62 / $165.96
United
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$89.13 / $91.20 / $194.98