go back

North Dakota rates for HCPCS 64484

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.46 / $188.72 / $655.27
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$10.49 / $10.49 / $21.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.61 / $85.66 / $121.14
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$156.15 / $156.15 / $240.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.29 / $211.02 / $276.87
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$148.94 / $211.31 / $413.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.69 / $164.12 / $293.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.46 / $105.15 / $190.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.83 / $175.40 / $526.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.83 / $189.09 / $275.14