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Georgia 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 $1,698 · 10th–90th $135$6,7610%10%10th90th$1,698Professionalmedian $112 · 10th–90th $50$3090%10%10th90th$112$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$114.82 / $2,238.72 / $7,079.46
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$371.54 / $371.54 / $371.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $107.15 / $309.03
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$75.86 / $158.49 / $457.09
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $91.20 / $229.09
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$70.79 / $275.42 / $346.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $1,047.13 / $1,584.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $102.33 / $223.87
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$97.72 / $154.88 / $338.84
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $70.79 / $97.72
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $125.89 / $144.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $2,511.89 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $117.49 / $269.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $134.90 / $398.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$50.12 / $50.12 / $107.15
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,019.95 / $4,570.88 / $6,760.83
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $154.88 / $173.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $1,348.96 / $2,344.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $102.33 / $245.47