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Mississippi 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
$81.28 / $954.99 / $1,995.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $85.11 / $165.96
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$134.90 / $134.90 / $186.21
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $58.88 / $112.20
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$70.79 / $93.33 / $117.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $144.54 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $107.15 / $173.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $575.44 / $1,659.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $89.13 / $186.21