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Utah 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 $832$5,2480%10%10th90th$1,778Professionalmedian $324 · 10th–90th $105$1,2020%5%10th90th$324$20.0$100.0$500.0$2.0K

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
$831.76 / $1,819.70 / $5,248.07
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$831.76 / $1,659.59 / $5,248.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $281.84 / $1,023.29
Aetna
Facility/Professional
Professional
Modifier
22
Typical Low / Median / Typical High
$141.25 / $141.25 / $190.55
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$151.36 / $363.08 / $2,089.30
Aetna
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$36.31 / $36.31 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $204.17 / $416.87
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $177.83
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,737.80 / $2,691.53
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,905.46 / $2,630.27 / $3,981.07
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $346.74 / $524.81
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $371.54 / $645.65
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $338.84 / $489.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $2,818.38 / $5,128.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $199.53 / $354.81