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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

Facilitymedian $1,445 · 10th–90th $741–$2,4550%10%10th90th$1,445Professionalmedian $275 · 10th–90th $110–$6460%5%10%10th90th$275$100.0$200.0$500.0$1.0K$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
$338.84 / $1,445.44 / $2,454.71
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,148.15 / $1,412.54 / $3,715.35
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $251.19 / $630.96
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$295.12 / $436.52 / $1,096.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $165.96 / $263.03
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$147.91 / $245.47 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $251.19 / $549.54
Cigna
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$186.21 / $186.21 / $186.21
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $316.23 / $524.81
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $131.83 / $331.13
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $251.19 / $467.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $223.87 / $512.86