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Washington, DC 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
$253.90 / $1,614.00 / $3,175.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$928.20 / $928.20 / $928.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.18 / $191.25 / $480.90
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.96 / $119.74 / $1,410.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.50 / $249.56 / $512.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.34 / $450.08 / $450.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$665.00 / $762.00 / $6,342.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.87 / $268.23 / $546.96