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Washington, DC rates for HCPCS 64483

Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $1,548.82 / $4,073.80
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$933.25 / $4,168.69 / $4,786.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $295.12 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
22
Low / Median / High Price
$123.03 / $123.03 / $724.44
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$169.82 / $426.58 / $1,174.90
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$36.31 / $36.31 / $37.15
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $275.42 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $257.04 / $616.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $302.00 / $575.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,737.80 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $229.09 / $588.84