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Arizona rates for HCPCS 64484

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.45 / $1,671.00 / $5,506.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$473.60 / $473.60 / $473.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.62 / $98.22 / $355.14
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$69.93 / $122.49 / $204.41
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.37 / $98.74 / $129.93
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$64.95 / $132.52 / $148.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.23 / $640.61 / $1,054.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $57.97 / $86.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.42 / $100.66 / $193.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.70 / $105.18 / $1,053.00
Medica
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$48.61 / $48.61 / $48.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.81 / $144.82 / $2,512.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.00 / $1,535.00 / $2,175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.46 / $124.92 / $219.26