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Rhode Island 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
$33.11 / $2,290.87 / $2,454.71
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,466.84 / $4,466.84 / $4,466.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $275.42 / $776.25
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$177.83 / $457.09 / $1,621.81
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$36.31 / $36.31 / $37.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $213.80 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $229.09 / $616.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $2,454.71 / $6,025.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $223.87 / $501.19