go back

Montana 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)

Facilitymedian $158 · 10th–90th $102–$2450%20%10th90th$158Professionalmedian $129 · 10th–90th $60–$3720%10%20%10th90th$129$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $123.03 / $338.84
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$630.96 / $630.96 / $630.96
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64,565.42 / $77,624.71 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $213.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $104.71 / $190.55
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $128.82 / $234.42
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $128.82 / $234.42
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $144.54 / $257.04
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $120.23 / $257.04
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $181.97 / $181.97
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $144.54 / $229.09