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Delaware 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
$3,235.94 / $3,235.94 / $7,244.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $87.10 / $204.17
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$338.84 / $380.19 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $89.13 / $158.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $144.54 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $79.43 / $141.25