Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HC INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,LUMBAR/SAC, 1ST LEVEL
Boulder, CO
See all hospitals reporting CPT 64493 →Price type
Boulder Community Health’s median price of $972 is 19% below the median hospital's median price ($1.2k), higher than 35% of the 2,328 hospitals reporting CPT 64493. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 41 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna medicare advantage professional · case rate · both | $83 | $83 | — | — | — | $83 – $83 |
| 2 | Anthem medicare advantage professional · fee schedule · both | $83 | $83 | — | — | — | $83 – $83 |
| 3 | Devoted medicare advantage professional · fee schedule · both | $83 | $83 | — | — | — | $83 – $83 |
| 4 | Humana medicare advantage professional · fee schedule · both | $83 | $83 | — | — | — | $83 – $83 |
| 5 | Kaiser medicare advantage professional · fee schedule · both | $103 | $103 | — | — | — | $103 – $103 |
| 6 | Anthem commercial professional · fee schedule · both | $111 | $122 | $17 | 14% | — | $111 – $150 |
| 7 | Kaiser commercial professional · fee schedule · both | $131 | $131 | — | — | — | $131 – $131 |
| 8 | MultiPlan commercial professional · fee schedule · both | $141 | $141 | — | — | — | $141 – $141 |
| 9 | Phcs commercial professional · fee schedule · both | $141 | $141 | — | — | — | $141 – $141 |
| 10 | Cigna commercial professional · percent of total billed charges · bothfrom % of charges | $144 | $144 | — | — | — | $144 – $144 |
| 11 | Cigna commercial facility · fee schedule · outpatient | $146 | $146 | — | — | — | $146 – $146 |
| 12 | Anthem managed care professional · fee schedule · both | $150 | $150 | — | — | — | $150 – $150 |
| 13 | Cigna commercial professional · fee schedule · both | $152 | $152 | — | — | — | $152 – $152 |
| 14 | Aetna commercial professional · fee schedule · both | $176 | $176 | — | — | — | $176 – $176 |
| 15 | Aetna ppo professional · fee schedule · both | $176 | $176 | — | — | — | $176 – $176 |
| 16 | UnitedHealthcare commercial professional · fee schedule · both | $179 | $179 | — | — | — | $179 – $179 |
| 17 | UnitedHealthcare medicare advantage professional · fee schedule · both | $513 | $513 | $430 | 84% | — | $83 – $943 |
| 18 | Aetna medicare advantage facility · case rate · outpatient | $943 | $943 | — | — | — | $943 – $943 |
| 19 | Anthem medicare advantage facility · case rate · outpatient | $943 | $943 | — | — | — | $943 – $943 |
| 20 | Humana medicare advantage facility · case rate · outpatient | $962 | $962 | — | — | — | $962 – $962 |
| 21 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $962 | $962 | — | — | — | $962 – $962 |
| 22 | Kaiser medicare advantage facility · case rate · outpatient | $967 | $967 | $5 | 0% | — | $962 – $972 |
| 23 | Devoted medicare advantage facility · case rate · outpatient | $972 | $972 | — | — | — | $972 – $972 |
| 24 | Cigna commercial facility · case rate · outpatient | $1.7k | $1.7k | $242 | 15% | — | $1.4k – $1.9k |
| 25 | Anthem commercial facility · case rate · outpatient | $2.1k | $2.4k | $582 | 24% | — | $1.8k – $3.3k |
Last updated: Sep 16, 2026
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