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Vermont 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
Professional
Modifier
Low / Median / High Price
$46.61 / $96.65 / $130.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,936.20 / $1,936.20 / $2,162.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.02 / $246.02 / $246.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.26 / $120.26 / $236.29
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.00 / $121.66 / $236.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.57 / $213.00 / $431.45