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Louisiana 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
$85.11 / $1,000.00 / $3,467.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $104.71 / $489.78
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$75.86 / $117.49 / $588.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $57.54 / $112.20
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$60.26 / $151.36 / $229.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $323.59 / $1,348.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $93.33 / $169.82
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $426.58 / $426.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $91.20 / $173.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $512.86 / $1,258.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $93.33 / $190.55