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North Dakota 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
$106.37 / $1,354.65 / $3,781.63
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,327.27 / $2,635.63 / $4,451.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.04 / $175.65 / $297.29
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$807.68 / $807.68 / $1,104.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.77 / $289.62 / $479.96
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$311.66 / $425.07 / $719.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.88 / $323.85 / $512.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.37 / $192.26 / $386.49
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,092.51 / $2,408.42 / $3,230.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.34 / $355.65 / $1,012.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.61 / $346.23 / $430.34