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Vermont 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
$2,570.40 / $2,570.40 / $3,715.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $234.42 / $912.01
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$338.84 / $478.63 / $1,479.11
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$186.21 / $186.21 / $186.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,479.11 / $1,949.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $407.38 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $204.17 / $501.19
Cigna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$162.18 / $162.18 / $162.18
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $323.59 / $416.87
MVP Health Care
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$123.03 / $162.18 / $208.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $323.59 / $562.34