Reddenda · Rate Intelligence · San Jose-Sunnyvale-Santa Clara, CA

62323 under Anthem Blue Cross (CA) in San Jose-Sunnyvale-Santa Clara, CA

Lumbar epidural injection w/ imaging guidance · Local peer median $374.44 · High confidence

• The local peer median for CPT 62323 under Anthem Blue Cross (CA) in San Jose-Sunnyvale-Santa Clara, CA is $374.44, drawn from 279 distinct providers.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Anthem Blue Cross (CA) to publish this rate
• The bottom of the local market (P10) is $150.79 and the top (P90) is $1,342.33; the median-to-P90 spread is $967.89.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Anthem Blue Cross (CA) to publish this rate
• The lowest published rate in this market is $40.08; the highest is $1,508.10.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Anthem Blue Cross (CA) to publish this rate
• This benchmark is drawn from 292 individual rate records that Anthem Blue Cross (CA) itself published for this code in this metro.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Anthem Blue Cross (CA) to publish this rate
• Medicare's national non-facility rate for CPT 62323 is $273.22, making the Anthem Blue Cross (CA) local median 137% of Medicare.Source: Medicare Physician Fee Schedule; the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Anthem Blue Cross (CA) to publish this rate
• 19.9% of indexed providers cluster at the single most common rate; the remainder shows a real, scoreable spread across the local market.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Anthem Blue Cross (CA) to publish this rate
• A federal No Surprises Act arbitrator may weigh up to four plan years of a provider's own contracted rate history and local market share when resolving a payment dispute over this exact code and payer.Source: 45 CFR §149.510(c)(4)(iii)(B)

Modeled from Anthem Blue Cross (CA)'s own published in-network rates, never guaranteed and never a national average. Peer basis: same CPT, same payer file, same metro (CBSA). Federal citation for the underlying obligation: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Anthem Blue Cross (CA) to publish this rate. Page generated 2026-08-23 23:42 UTC; the live index is queried in real time on every request.