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Montana 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
$588.84 / $1,621.81 / $2,511.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $269.15 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$173.78 / $1,318.26 / $1,698.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $416.87 / $416.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $218.78 / $389.05
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $389.05 / $478.63
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $389.05 / $478.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $288.40 / $489.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $251.19 / $537.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $269.15 / $457.09