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Maine 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
$338.84 / $1,445.44 / $2,454.71
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,148.15 / $1,412.54 / $3,715.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $269.15 / $645.65
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$177.83 / $407.38 / $1,096.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $165.96 / $263.03
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$147.91 / $251.19 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $257.04 / $524.81
Cigna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$186.21 / $186.21 / $186.21
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $323.59 / $524.81
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $1,548.82 / $2,454.71
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,148.15 / $1,513.56 / $3,715.35
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $263.03 / $562.34
Martin's Point
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$177.83 / $407.38 / $1,096.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $218.78 / $457.09