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California 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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $3,090.30 / $13,803.84
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,698.24 / $1,698.24 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $112.20 / $537.03
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$70.79 / $123.03 / $436.52
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $95.50 / $165.96
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$144.54 / $144.54 / $144.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $4,466.84 / $12,882.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $89.13 / $218.78
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$70.79 / $114.82 / $407.38
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $549.54 / $5,888.44
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $134.90 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $107.15 / $223.87
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $131.83 / $199.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $120.23 / $234.42
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $19,498.45
Lucent Health
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$295.12 / $295.12 / $295.12
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,511.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $154.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $109.65 / $223.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $107.15 / $239.88
Sutter Health Plus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $346.74
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $169.82 / $251.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,513.56 / $6,309.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $87.10 / $190.55