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North Carolina 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
$407.38 / $1,737.80 / $3,467.37
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$524.81 / $3,467.37 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $239.88 / $851.14
Aetna
Facility/Professional
Professional
Modifier
22
Low / Median / High Price
$141.25 / $478.63 / $1,548.82
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$158.49 / $371.54 / $1,202.26
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$63.10 / $138.04 / $186.21
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $181.97 / $380.19
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$141.25 / $275.42 / $691.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $380.19 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $263.03 / $562.34
Cigna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$128.82 / $128.82 / $128.82
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $588.84 / $588.84
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $245.47 / $489.78
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $380.19 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $2,137.96 / $4,073.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $208.93 / $446.68
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $32,359.37
Wellcare
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$537.03 / $537.03 / $537.03
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.80 / $4,073.80 / $4,073.80