Spinal injection
What goes into a price?
Negotiated prices across insurers
Self pay or cash prices vary by facility when paying out of pocket without insurance benefits. The chart shows you how the lowest and highest amounts facilities charge for this service if you were paying without insurance benefits. If you're uninsured or not submitting a claim to insurance, you also have the right to a Good Faith Estimate under federal law. Contact the provider for a copy of your Good Faith Estimate or to better understand payment options available to you.
Procedures included in this package
This list includes the services and fees bundled into the Spinal injection Standard Service Package (SSP NU004). The final price for the procedure will depend on which services your provider ultimately performs, your insurance plan and your medical benefits.
| Code | Code Type | Description |
|---|---|---|
| HCPCS J7030 | Facility Fee | Intravenous infusion of 1000cc of normal saline |
| HCPCS J1100 | Facility Fee | Intramuscular injection of 1mg dexamethasone sodium phosphate |
| HCPCS 72020 | Facility Fee | X-ray of spine at specific level, single view |
| HCPCS J2250 | Facility Fee | Intramuscular injection of 1mg midazolam hydrochloride |
| HCPCS Q9967 | Facility Fee | Non-ionic low osmolar contrast, 300-399mg/ml iodine concentration per ml |
| HCPCS J3010 | Facility Fee | Intramuscular injection of fentanyl citrate, 0.1mg |
| HCPCS 62323 | Facility Fee | Injection with Imaging Guidance, Including Needle Placement, Epidural/Subarachnoid, Lumbar/Sacral |
| HCPCS 62323 | Professional Fee | Injection with Imaging Guidance, Including Needle Placement, Epidural/Subarachnoid, Lumbar/Sacral |
| HCPCS 99152 | Professional Fee | Moderate Sedation with Monitor, Initial 15min, Age 5+ |