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North Carolina rates for HCPCS 64483

Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.94 / $1,664.24 / $3,497.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$524.77 / $3,586.50 / $4,828.50
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$21.74 / $35.47 / $67.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.09 / $234.77 / $632.27
Aetna
Facility/Professional
Professional
Modifier
22
Low / Median / High Price
$141.52 / $141.52 / $191.19
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$154.41 / $364.43 / $1,039.57
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$21.74 / $45.66 / $82.17
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.17 / $246.89 / $571.62
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$259.20 / $665.55 / $857.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.13 / $400.44 / $663.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.75 / $395.75 / $820.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.72 / $275.62 / $586.79
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.71 / $291.54 / $506.76
Medcost
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$368.53 / $584.58 / $784.50
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.00 / $269.00 / $400.00
Medcost
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$493.38 / $493.38 / $493.38
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,217.57 / $1,217.57 / $1,217.57
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.78 / $221.85 / $418.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$554.00 / $2,417.00 / $4,102.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.45 / $318.32 / $603.89
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.14 / $554.14 / $32,000.00
Wellcare
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$57.80 / $110.83 / $110.83
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,052.00 / $4,050.50 / $4,050.50