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Massachusetts rates for HCPCS 64484

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.64 / $988.00 / $2,747.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,466.10 / $1,466.10 / $1,466.10
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$10.74 / $10.74 / $18.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.61 / $96.65 / $241.44
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$17.39 / $116.94 / $433.64
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.00 / $941.10 / $4,142.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$49.50 / $49.50 / $49.50
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.86 / $176.90 / $790.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.77 / $74.23 / $147.31
BCBS
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$14.44 / $18.55 / $36.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.83 / $119.97 / $243.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.73 / $137.54 / $285.89
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.15 / $222.61 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.75 / $154.53 / $213.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.54 / $137.31 / $297.58
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.13 / $1,029.56 / $1,269.47
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.29 / $152.22 / $203.96
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.52 / $1,818.00 / $12,000.00
Mass General Brigham
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$49.50 / $49.50 / $49.50
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.19 / $279.54 / $2,512.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $2,733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.84 / $211.56 / $358.73