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Wyoming 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
$595.35 / $595.35 / $595.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.36 / $1,030.95 / $1,764.00
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,702.12 / $1,702.12 / $1,702.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$974.00 / $974.00 / $974.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.00 / $420.00 / $862.00
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$391.50 / $756.00 / $1,293.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.70 / $313.56 / $560.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$788.00 / $788.00 / $3,328.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.74 / $507.66 / $941.20