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Wyoming 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 $871 · 10th–90th $537–$1,0230%20%40%10th90th$871Professionalmedian $224 · 10th–90th $51–$1,4130%10%10th90th$224$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$537.03 / $870.96 / $912.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $234.42 / $1,412.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $199.53 / $363.08
BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$102.33 / $245.47 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $120.23 / $234.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $295.12 / $3,235.94
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $165.96 / $323.59