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Washington 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 $2,754 · 10th–90th $234$5,2480%10%20%10th90th$2,754Professionalmedian $302 · 10th–90th $107$1,2020%5%10%10th90th$302$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
$302.00 / $2,884.03 / $5,011.87
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,187.76 / $3,801.89 / $6,025.60
Aetna
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$3,019.95 / $3,019.95 / $3,019.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $275.42 / $1,202.26
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 / $407.38 / $1,445.44
Aetna
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$186.21 / $186.21 / $186.21
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $194.98 / $524.81
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$158.49 / $302.00 / $436.52
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,778.28 / $2,454.71 / $4,897.79
Asuris Northwest Health
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,630.27 / $3,630.78 / $7,413.10
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $309.03 / $588.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $562.34 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $281.84 / $660.69
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $281.84 / $831.76
Kaiser Permanente
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,905.46 / $3,235.94 / $6,760.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $275.42 / $645.65
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $97.72
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $446.68 / $489.78
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $338.84 / $338.84
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $338.84 / $602.56
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $2,511.89 / $4,897.79
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,511.89 / $3,801.89 / $7,413.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $309.03 / $588.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $2,754.23 / $5,011.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $281.84 / $537.03
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $208.93 / $389.05