CPT 62323: Lumbar/Sacral Epidural Injection, Image-Guided
Medicare pays $284 and commercial payers pay $581 on average nationally for this procedure.
CPT code 62323 describes insertion of a needle or catheter and injection of a diagnostic or therapeutic substance (for example, a steroid or analgesic) into the epidural space around lumbar or sacral spinal nerves performed under imaging guidance; service type: image-guided lumbar/sacral epidural injection; typical site of service: ambulatory surgical center, hospital outpatient department, or office procedure setting with fluoroscopic or CT guidance.
For related coverage guidance, see recent payer policy updates: Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use Disorders, Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use Disorders, Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use Disorders.
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National Reimbursement Benchmarks
Medicare’s national mean of $284.10 sits notably below BUCA’s average commercial benchmark of $581.40, indicating that commercial contracts captured by BUCA pay roughly twice Medicare on average for CPT 62323. That gap highlights a substantial premium in commercial pricing versus the federal program for this procedure.
Dispersion (P75–P25) varies meaningfully across payers: Blue Cross Blue Shield shows the widest interquartile spread at $675.00 ($1,119.70–$420.00), followed by UnitedHealth Group at $259.10 ($460.20–$210.10) and Cigna at $236.60 ($385.60–$149.00). Aetna displays a tighter spread of $165.10 ($264.40–$92.60), while BUCA’s IQR is $497.80 ($798.40–$304.60). Medicare’s IQR is narrow at $33.00 ($295.00–$262.00). These differences reflect substantial variation in commercial contract outcomes versus Medicare.