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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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$514.01 / $875.35 / $1,810.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.90 / $495.00 / $1,836.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.00 / $165.00 / $361.00
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$154.50 / $297.00 / $541.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.80 / $121.17 / $232.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.00 / $293.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.05 / $206.18 / $461.50