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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)

Facilitymedian $794 · 10th–90th $269–$3,4670%20%10th90th$794Professionalmedian $100 · 10th–90th $51–$3890%5%10%10th90th$100$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$758.58 / $794.33 / $1,548.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $100.00 / $389.05
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$371.54 / $371.54 / $457.09
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $257.04 / $676.08
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $102.33 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $109.65 / $288.40
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $1,230.27 / $5,128.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $102.33 / $223.87