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Washington 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
$323.59 / $2,511.89 / $6,606.93
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,570.40 / $3,235.94 / $4,265.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $275.42 / $1,047.13
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$251.19 / $1,023.29 / $1,698.24
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $257.04 / $416.87
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$323.59 / $323.59 / $323.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $562.34 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $309.03 / $724.44
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $316.23 / $851.14
Kaiser Permanente
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,905.46 / $3,235.94 / $6,760.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $309.03 / $691.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $114.82
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $457.09 / $537.03
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $363.08 / $363.08
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $363.08 / $660.69
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $2,570.40 / $4,897.79
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,630.27 / $3,890.45 / $7,413.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $363.08 / $630.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $3,090.30 / $5,011.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $309.03 / $602.56
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $223.87 / $416.87