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Louisiana rates for HCPCS 64479

Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, single level

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $1,288.25 / $3,467.37
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,148.15 / $1,148.15 / $1,949.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $251.19 / $1,071.52
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$288.40 / $1,122.02 / $1,698.24
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $138.04 / $263.03
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$354.81 / $354.81 / $354.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $1,230.27 / $1,949.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $234.42 / $398.11
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $776.25 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $239.88 / $426.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $1,096.48 / $2,344.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $223.87 / $426.58