go back

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
$131.97 / $257.92 / $2,000.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,111.11 / $3,111.11 / $3,111.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.96 / $215.15 / $301.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.75 / $509.54 / $661.49
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$386.63 / $548.57 / $992.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.80 / $421.53 / $847.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.97 / $257.92 / $752.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.01 / $470.82 / $1,262.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.01 / $423.74 / $675.03