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Texas 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 $1,622 · 10th–90th $115$6,3100%5%10%10th90th$1,622Professionalmedian $110 · 10th–90th $55$2040%10%10th90th$110$0.0$0.2$2.0$20.0$200.0$2.0K

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
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $2,089.30 / $6,918.31
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$758.58 / $1,071.52 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $114.82 / $204.17
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$416.87 / $416.87 / $630.96
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $52.48 / $138.04
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $630.96 / $3,715.35
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $97.72 / $165.96
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $537.03 / $4,073.80
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $69.18
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $398.11 / $398.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $104.71 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $128.82 / $229.09
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $19,498.45 / $19,498.45
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,122.02 / $1,288.25
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $162.18 / $2,290.87
Moda Health
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,071.52 / $2,041.74 / $2,511.89
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $120.23 / $257.04
Moda Health
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$416.87 / $416.87 / $630.96
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $112.20
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $281.84 / $537.03
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $138.04 / $251.19
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $125.89 / $229.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $954.99 / $2,290.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $104.71 / $181.97
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $141.25 / $144.54