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Massachusetts 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
$120.23 / $2,089.30 / $3,801.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $125.89 / $380.19
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$144.54 / $144.54 / $630.96
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $1,862.09 / $19,498.45
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $154.88 / $407.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $70.79 / $165.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $204.17 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $147.91 / $302.00
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $112.20 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $204.17 / $275.42
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $2,041.74 / $3,467.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $147.91 / $363.08
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $3,890.45 / $3,890.45
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $1,862.09 / $19,498.45
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $154.88 / $407.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,862.09 / $2,818.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $151.36 / $346.74