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Oklahoma 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
$100.00 / $1,380.38 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $104.71 / $263.03
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$74.13 / $154.88 / $457.09
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $61.66 / $141.25
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$60.26 / $85.11 / $158.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $2,691.53 / $4,365.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $104.71 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $100.00 / $186.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $128.82 / $1,659.59
Medica
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$48.98 / $48.98 / $48.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $134.90 / $2,511.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $630.96 / $1,659.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $81.28 / $151.36