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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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $1,862.09 / $5,011.87
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$776.25 / $776.25 / $776.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $87.10 / $295.12
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$77.62 / $234.42 / $436.52
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $60.26 / $89.13
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$83.18 / $91.20 / $128.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $64.57 / $100.00
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$67.61 / $102.33 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $89.13 / $151.36
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $75.86 / $151.36
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $67.61 / $147.91
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $97.72 / $151.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $1,288.25 / $2,041.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $85.11 / $144.54