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Maryland 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
$0.98 / $0.98 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $125.89 / $371.54
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$144.54 / $144.54 / $630.96
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $66.07 / $97.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $331.13 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $114.82 / $251.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $173.78 / $263.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $40.74 / $120.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $117.49 / $223.87
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $173.78 / $218.78