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Georgia rates for HCPCS 64480

Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, each additional level (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $3,548.13 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $125.89 / $331.13
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$87.10 / $87.10 / $141.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $112.20 / $275.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,258.93 / $1,584.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $123.03 / $229.09
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$120.23 / $186.21 / $338.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $104.71 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $144.54 / $316.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $173.78 / $489.78
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $190.55 / $213.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $1,513.56 / $2,511.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $123.03 / $263.03