go back

Maryland 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
$602.56 / $912.01 / $1,230.27
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$758.58 / $912.01 / $954.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $269.15 / $977.24
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$288.40 / $1,096.48 / $2,137.96
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $144.54 / $302.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $338.84 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $239.88 / $512.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $338.84 / $501.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $123.03 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $234.42 / $457.09
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $346.74 / $436.52