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Michigan 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 $1,778 · 10th–90th $302$3,1620%10%10th90th$1,778Professionalmedian $269 · 10th–90th $107$9770%5%10th90th$269$50.0$200.0$1.0K$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
$181.97 / $1,698.24 / $2,511.89
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,380.38 / $2,041.74 / $4,265.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $239.88 / $707.95
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
$158.49 / $380.19 / $1,348.96
Aetna
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$138.04 / $138.04 / $186.21
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $199.53 / $446.68
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$147.91 / $165.96 / $354.81
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $251.19 / $251.19
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $251.19 / $389.05
BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$263.03 / $263.03 / $588.84
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $162.18 / $229.09
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $302.00 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $204.17 / $407.38
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $1,548.82 / $2,398.83
Health Alliance Plan
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$794.33 / $1,949.84 / $4,073.80
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $263.03 / $562.34
Health Alliance Plan
Facility/Professional
Professional
Modifier
22
Typical Low / Median / Typical High
$141.25 / $190.55 / $1,548.82
Health Alliance Plan
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$165.96 / $380.19 / $1,047.13
Health Alliance Plan
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$138.04 / $138.04 / $186.21
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $190.55 / $407.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $1,621.81 / $3,801.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $204.17 / $346.74