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Nevada 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 $1,862 · 10th–90th $89–$5,0120%20%10th90th$1,862Professionalmedian $89 · 10th–90th $50–$2950%10%20%10th90th$89$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$89.13 / $1,862.09 / $5,011.87
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$776.25 / $776.25 / $776.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $87.10 / $275.42
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$77.62 / $234.42 / $416.87
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $64.57 / $100.00
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$87.10 / $125.89 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $87.10 / $141.25
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $70.79 / $141.25
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.20 / $67.61 / $147.91
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $97.72 / $151.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $1,047.13 / $2,041.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $85.11 / $151.36