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Alabama rates for HCPCS 64484

Njx Aa&/Strd Tfrml Epi Lumbar/Sacral Ea Addl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.48 / $686.00 / $1,728.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,075.20 / $4,075.20 / $4,075.20
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$15.92 / $15.92 / $33.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.92 / $79.62 / $169.93
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.92 / $95.67 / $100.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.59 / $1,382.00 / $1,859.23
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,712.40 / $2,072.98 / $2,788.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $78.84 / $136.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.82 / $104.49 / $195.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.00 / $850.00 / $1,323.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.12 / $101.49 / $228.24