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Maine 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
Professional
Modifier
Low / Median / High Price
$60.54 / $94.81 / $149.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.70 / $80.83 / $120.58
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$103.06 / $121.25 / $180.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.02 / $141.07 / $276.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.84 / $165.29 / $265.36
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.54 / $96.02 / $156.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.27 / $156.99 / $273.99