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Indiana rates for HCPCS 64484

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.15 / $928.75 / $2,973.05
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,696.35 / $1,696.35 / $1,696.35
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$9.69 / $17.54 / $24.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.61 / $96.43 / $300.00
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$76.68 / $86.63 / $143.31
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.18 / $64.76 / $99.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.00 / $3,548.00 / $4,847.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.86 / $64.70 / $91.88
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$61.29 / $97.06 / $137.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.43 / $62.16 / $94.79
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.21 / $124.01 / $156.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.83 / $110.18 / $238.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.00 / $2,252.00 / $4,426.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.04 / $129.69 / $224.01