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Alaska rates for HCPCS 64490

Njx Dx/Ther Agt Pvrt Facet Jt Crv/Thrc 1 Level

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.10 / $2,091.52 / $9,818.03
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,841.00 / $3,093.86 / $3,253.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.04 / $368.80 / $1,053.50
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$377.48 / $377.48 / $377.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.77 / $446.21 / $825.07
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.16 / $565.92 / $1,229.08
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.53 / $553.00 / $1,123.20
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.00 / $616.00 / $1,076.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.16 / $565.92 / $1,229.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.02 / $596.20 / $1,078.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.62 / $726.57 / $1,095.69