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Maine 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
Professional
Modifier
Low / Median / High Price
$125.89 / $263.03 / $575.44
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$251.19 / $389.05 / $1,318.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $199.53 / $309.03
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$173.78 / $295.12 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $295.12 / $562.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $346.74 / $562.34
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $269.15 / $602.56
Martin's Point
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$251.19 / $389.05 / $1,318.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $245.47 / $489.78