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North Dakota 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
$125.89 / $269.15 / $1,995.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $251.19 / $436.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $363.08 / $630.96
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$380.19 / $549.54 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $398.11 / $724.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $288.40 / $1,318.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $446.68 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $1,819.70 / $2,570.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $288.40 / $575.44