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Nebraska 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 $2,042 · 10th–90th $83$8,5110%5%10%10th90th$2,042Professionalmedian $126 · 10th–90th $51$5750%5%10%10th90th$126$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
$239.88 / $3,388.44 / $8,511.38
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$38.02 / $38.02 / $2,570.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $125.89 / $588.84
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$69.18 / $144.54 / $239.88
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $95.50 / $229.09
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$173.78 / $173.78 / $173.78
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $1,949.84 / $3,801.89
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $104.71 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $199.53 / $323.59
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $173.78 / $1,000.00
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
$109.65 / $208.93 / $2,511.89
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $208.93 / $288.40
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $158.49 / $354.81
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $6,025.60 / $7,079.46
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $107.15 / $239.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,548.82 / $4,466.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $128.82 / $257.04