go back

Alaska rates for HCPCS 62284

Injection procedure for myelography and/or computed tomography, lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$769.73 / $4,473.04 / $11,709.00
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$50.24 / $50.24 / $105.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.23 / $232.07 / $867.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.13 / $282.95 / $687.03
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $210.66 / $593.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.13 / $463.45 / $1,191.47
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.75 / $548.00 / $1,052.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $210.66 / $1,189.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.90 / $439.21 / $945.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $200.00 / $200.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.45 / $513.19 / $1,875.00