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Kentucky 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 $1,778 · 10th–90th $72$2,9510%5%10%10th90th$1,778Professionalmedian $79 · 10th–90th $46$1580%10%10th90th$79$50.0$100.0$200.0$500.0$1.0K$2.0K$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
$47.86 / $125.89 / $3,890.45
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$616.60 / $616.60 / $1,445.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $79.43 / $162.18
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$125.89 / $338.84 / $436.52
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $43.65 / $74.13
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$128.82 / $128.82 / $239.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $2,137.96 / $2,884.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $43.65 / $74.13
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$54.95 / $66.07 / $112.20
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $64.57 / $83.18
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $91.20 / $114.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $87.10 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $104.71 / $416.87
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $63.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $724.44 / $1,949.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $85.11 / $147.91