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Wyoming rates for HCPCS 64483

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$995.40 / $1,429.75 / $3,391.44
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$643.16 / $1,497.00 / $3,510.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.77 / $841.82 / $2,680.20
Aetna
Facility/Professional
Professional
Modifier
22
Low / Median / High Price
$2,084.40 / $2,084.40 / $2,084.40
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$156.00 / $168.99 / $1,750.95
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$21.68 / $48.38 / $66.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$974.00 / $974.00 / $974.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.00 / $359.00 / $800.00
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$334.50 / $646.50 / $1,200.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.69 / $290.74 / $520.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$788.00 / $788.00 / $3,328.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.77 / $468.76 / $904.82