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Maryland 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
$93.33 / $478.63 / $1,584.89
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$338.84 / $724.44 / $1,202.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $263.03 / $1,202.26
Aetna
Facility/Professional
Professional
Modifier
22
Low / Median / High Price
$141.25 / $141.25 / $190.55
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$151.36 / $407.38 / $1,778.28
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$51.29 / $97.72 / $186.21
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $123.03 / $269.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $338.84 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $218.78 / $467.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $316.23 / $467.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $123.03 / $229.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $213.80 / $426.58
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $323.59 / $398.11