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Wisconsin 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 $2,291 · 10th–90th $324$4,6770%5%10th90th$2,291Professionalmedian $355 · 10th–90th $110$1,6600%5%10th90th$355$50.0$200.0$1.0K$5.0K

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
$269.15 / $1,819.70 / $3,630.78
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,905.46 / $3,467.37 / $5,011.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $295.12 / $1,659.59
Aetna
Facility/Professional
Professional
Modifier
22
Typical Low / Median / Typical High
$123.03 / $478.63 / $1,548.82
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$162.18 / $616.60 / $1,905.46
Aetna
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$51.29 / $51.29 / $97.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $3,090.30 / $5,754.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $251.19 / $562.34
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$245.47 / $380.19 / $851.14
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $134.90 / $177.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $776.25 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $446.68 / $1,122.02
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $269.15 / $3,162.28
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $371.54 / $676.08
DeanCare
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$309.03 / $562.34 / $1,023.29
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $436.52 / $3,630.78
Medica
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,288.25 / $3,019.95 / $3,715.35
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $501.19 / $4,073.80
Medica
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$245.47 / $354.81 / $363.08
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $147.91
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $2,951.21 / $3,235.94
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $446.68 / $758.58
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $416.87 / $870.96
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $1,819.70 / $2,691.53
Quartz
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$371.54 / $371.54 / $537.03
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $1,174.90 / $4,073.80
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $389.05 / $891.25
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $724.44 / $1,445.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,754.23 / $5,011.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $309.03 / $891.25