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Minnesota 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 $195 · 10th–90th $0$2,2390%10%20%10th90th$195Professionalmedian $174 · 10th–90th $74$3800%10%10th90th$174$0.0$0.2$2.0$20.0$200.0$2.0K

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
$0.79 / $91.20 / $125.89
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,570.40 / $2,570.40 / $2,570.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $85.11 / $186.21
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$77.62 / $281.84 / $380.19
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1,995.26 / $7,079.46
BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$0.02 / $0.02 / $0.02
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $173.78 / $323.59
BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$138.04 / $263.03 / $489.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $338.84 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $204.17 / $380.19
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $323.59 / $630.96
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $186.21 / $346.74
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $125.89 / $363.08
Medica
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,659.59 / $1,659.59 / $1,659.59
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $173.78 / $426.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $1,862.09 / $5,370.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $131.83 / $281.84