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Missouri 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 $1,175 · 10th–90th $98$4,2660%5%10th90th$1,175Professionalmedian $105 · 10th–90th $50$4170%5%10%10th90th$105$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
$75.86 / $1,122.02 / $4,897.79
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$5,128.61 / $5,128.61 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $104.71 / $436.52
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$69.18 / $123.03 / $436.52
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $48.98 / $109.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $1,819.70 / $3,981.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $74.13 / $134.90
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$79.43 / $112.20 / $204.17
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $107.15 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $109.65 / $199.53
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $131.83 / $954.99
Medica
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$48.98 / $48.98 / $48.98
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $190.55 / $2,511.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $707.95 / $1,778.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $97.72 / $190.55