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Idaho 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

Facilitymedian $1,905 · 10th–90th $324$3,8020%10%10th90th$1,905Professionalmedian $288 · 10th–90th $110$9550%5%10th90th$288$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$331.13 / $1,778.28 / $2,630.27
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,089.30 / $3,715.35 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $263.03 / $758.58
Aetna
Facility/Professional
Professional
Modifier
22
Typical Low / Median / Typical High
$141.25 / $478.63 / $1,548.82
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$154.88 / $426.58 / $1,412.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $1,023.29 / $2,290.87
BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$562.34 / $1,548.82 / $3,548.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $371.54 / $478.63
BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$275.42 / $338.84 / $724.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $575.44 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $213.80 / $426.58
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $338.84 / $1,949.84
Moda Health
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,995.26 / $3,467.37 / $3,890.45
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $281.84 / $630.96
Moda Health
Facility/Professional
Professional
Modifier
22
Typical Low / Median / Typical High
$141.25 / $478.63 / $1,548.82
Moda Health
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$151.36 / $426.58 / $1,412.54
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $2,041.74 / $2,951.21
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,454.71 / $3,388.44 / $4,466.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $346.74 / $512.86
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $245.47 / $977.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $2,630.27 / $4,466.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $229.09 / $446.68