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Texas 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 $1,905 · 10th–90th $389$4,6770%5%10th90th$1,905Professionalmedian $224 · 10th–90th $102$5500%5%10%10th90th$224$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
$575.44 / $1,949.84 / $5,128.61
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,513.56 / $2,570.40 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $223.87 / $512.86
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$177.83 / $363.08 / $1,023.29
Aetna
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$51.29 / $97.72 / $138.04
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $177.83 / $288.40
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$144.54 / $338.84 / $457.09
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $1,288.25 / $2,570.40
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $177.83 / $309.03
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $891.25 / $2,818.38
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $177.83 / $407.38
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $741.31 / $741.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $186.21 / $186.21
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$223.87 / $223.87 / $223.87
Cigna
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$38.02 / $38.02 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $229.09 / $426.58
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $32,359.37 / $32,359.37
Lucent Health
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$549.54 / $549.54 / $549.54
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,073.80 / $4,073.80 / $4,073.80
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $354.81 / $2,818.38
Moda Health
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,479.11 / $2,454.71 / $5,754.40
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $229.09 / $489.78
Moda Health
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$181.97 / $354.81 / $1,047.13
Moda Health
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$51.29 / $97.72 / $138.04
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $208.93
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $2,137.96 / $3,311.31
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $371.54 / $977.24
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $245.47 / $489.78
Providence
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$208.93 / $208.93 / $208.93
Providence
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$35.48 / $35.48 / $35.48
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $223.87 / $436.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $1,513.56 / $3,548.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $186.21 / $363.08
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $263.03 / $269.15