go back

Massachusetts 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
$205.78 / $1,803.00 / $3,363.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$232.50 / $2,105.79 / $4,095.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.34 / $183.25 / $313.39
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$207.19 / $278.77 / $1,145.55
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.81 / $1,483.60 / $7,161.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.90 / $307.30 / $1,012.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.37 / $157.25 / $300.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.74 / $294.00 / $594.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.47 / $262.95 / $481.26
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.49 / $300.00 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.19 / $270.58 / $373.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.90 / $286.69 / $566.94
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$923.25 / $1,891.03 / $3,704.58
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.80 / $327.02 / $701.89
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.02 / $2,078.00 / $30,000.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.30 / $462.20 / $3,500.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.00 / $2,408.00 / $5,683.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.00 / $370.27 / $601.86