go back

Alaska rates for HCPCS 64484

Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, each additional level (List separately in addition to code for primary procedure)

Facilitymedian $372 · 10th–90th $85–$1,8200%20%10th90th$372Professionalmedian $123 · 10th–90th $52–$3630%5%10%10th90th$123$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
$707.95 / $1,380.38 / $3,019.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $112.20 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $134.90 / $331.13
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $204.17 / $1,288.25
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $223.87 / $512.86
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $346.74 / $512.86
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $158.49 / $436.52
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $104.71 / $263.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $218.78 / $524.81