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Illinois 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 $977 · 10th–90th $95$4,6770%5%10%10th90th$977Professionalmedian $91 · 10th–90th $50$2240%10%10th90th$91$50.0$200.0$1.0K$5.0K

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
$87.10 / $1,096.48 / $5,128.61
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$257.04 / $933.25 / $1,995.26
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $87.10 / $177.83
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$77.62 / $208.93 / $489.78
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $69.18 / $91.20
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $645.65 / $1,230.27
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $93.33 / $158.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $95.50 / $162.18
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $144.54 / $630.96
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $64.57 / $117.49
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $851.14 / $2,290.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $89.13 / $158.49
United
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$186.21 / $186.21 / $194.98