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Massachusetts 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 $417 · 10th–90th $54$2,8180%5%10%10th90th$417Professionalmedian $112 · 10th–90th $51$3240%10%10th90th$112$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$89.13 / $741.31 / $3,090.30
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,479.11 / $1,479.11 / $1,479.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $109.65 / $316.23
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$87.10 / $302.00 / $436.52
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $1,862.09 / $19,498.45
AllWays Health Partners
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$295.12 / $295.12 / $295.12
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $125.89 / $363.08
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $134.90
BCBS
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$14.45 / $14.45 / $33.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $131.83 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $120.23 / $288.40
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $64.57 / $3,311.31
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $165.96 / $208.93
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $2,041.74 / $3,467.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $120.23 / $295.12
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $977.24 / $1,122.02
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $204.17 / $208.93
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $1,862.09 / $19,498.45
Mass General Brigham
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$295.12 / $295.12 / $295.12
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $125.89 / $363.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $1,862.09 / $2,818.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $128.82 / $309.03