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New Hampshire 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
$288.40 / $1,819.70 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $120.23 / $186.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $120.23 / $169.82
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$79.43 / $181.97 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $162.18 / $331.13
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $7,413.10 / $7,413.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $162.18 / $331.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $7,413.10 / $7,413.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $147.91 / $288.40
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $104.71 / $165.96
Well Sense
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$154.88 / $154.88 / $154.88