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West Virginia 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
$941.41 / $1,274.88 / $1,994.23
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$9.47 / $15.29 / $31.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.36 / $96.65 / $142.43
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.79 / $57.35 / $78.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.12 / $155.41 / $225.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.31 / $86.31 / $86.31
Cigna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$17.26 / $17.26 / $17.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.07 / $112.20 / $235.41
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.82 / $860.46 / $1,142.08
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.95 / $71.36 / $78.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.38 / $155.41 / $279.07