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Pennsylvania 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 $2,291 · 10th–90th $776$5,1290%10%10th90th$2,291Professionalmedian $240 · 10th–90th $105$9330%10%10th90th$240$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$478.63 / $1,995.26 / $4,786.30
Aetna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$3,630.78 / $3,630.78 / $3,630.78
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,513.56 / $3,019.95 / $6,165.95
Aetna
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$1,174.90 / $1,174.90 / $1,174.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $229.09 / $676.08
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
$151.36 / $338.84 / $1,047.13
Aetna
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$50.12 / $63.10 / $138.04
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $204.17 / $257.04
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$117.49 / $331.13 / $549.54
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,589.25 / $12,589.25 / $12,589.25
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $114.82 / $275.42
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $2,344.23 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $331.13 / $416.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$354.81 / $501.19 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $213.80 / $457.09
Cigna
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$120.23 / $120.23 / $120.23
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $446.68 / $1,621.81
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $346.74 / $467.74
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $2,137.96 / $3,630.78
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,318.26 / $3,235.94 / $5,370.32
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $234.42 / $371.54
Highmark BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$165.96 / $213.80 / $812.83
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $1,584.89 / $12,589.25
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $123.03 / $302.00
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $1,288.25 / $5,128.61
Martin's Point
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,454.71 / $3,311.31 / $7,244.36
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $234.42 / $537.03
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $933.25 / $5,754.40
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $346.74 / $537.03
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $114.82 / $363.08
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $114.82 / $323.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $1,905.46 / $3,890.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $208.93 / $416.87