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Maryland 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
$276.41 / $870.26 / $1,236.43
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$559.32 / $1,443.81 / $1,977.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.50 / $192.28 / $532.38
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$98.04 / $412.62 / $2,482.80
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.96 / $115.98 / $248.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.00 / $451.23 / $641.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.01 / $197.64 / $388.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.26 / $256.32 / $390.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.00 / $123.00 / $158.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.49 / $251.45 / $409.36
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.42 / $228.50 / $283.23