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Rhode Island 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
$759.81 / $817.00 / $3,706.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.79 / $93.64 / $142.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.40 / $240.81 / $609.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.91 / $104.28 / $187.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.14 / $107.15 / $291.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $1,401.00 / $4,915.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.60 / $150.91 / $230.24