go back

Mississippi 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
$171.36 / $750.00 / $1,831.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,557.55 / $1,557.55 / $1,557.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.11 / $177.69 / $449.38
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$377.48 / $474.00 / $474.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.83 / $317.04 / $634.07
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$951.11 / $951.11 / $951.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.09 / $560.09 / $616.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.00 / $297.00 / $297.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.66 / $494.44 / $1,168.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.40 / $225.84 / $374.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.00 / $870.00 / $3,779.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.86 / $264.07 / $495.87