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Utah 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
$812.83 / $1,548.82 / $4,466.84
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,659.59 / $2,511.89 / $2,570.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $269.15 / $776.25
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$288.40 / $562.34 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $239.88 / $446.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $194.98
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,584.89 / $3,630.78
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,041.74 / $2,398.83 / $5,370.32
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $398.11 / $630.96
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $295.12 / $707.95
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $380.19 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $2,818.38 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $213.80 / $371.54