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Delaware 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
$101.43 / $193.01 / $2,638.53
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$754.10 / $754.10 / $754.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.04 / $175.50 / $210.38
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$377.48 / $377.48 / $377.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.37 / $524.37 / $524.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.43 / $189.81 / $343.55
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,368.71 / $2,368.71 / $3,345.00
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,445.04 / $3,445.04 / $3,445.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.00 / $440.00 / $440.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.81 / $251.59 / $429.87