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Nebraska 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
$177.79 / $2,943.00 / $12,036.14
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,617.32 / $2,250.36 / $3,795.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.35 / $191.25 / $484.52
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$147.06 / $564.74 / $815.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.94 / $371.94 / $420.00
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$535.21 / $535.21 / $535.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,507.81 / $1,983.18 / $3,836.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.50 / $199.94 / $366.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.91 / $716.91 / $716.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.12 / $330.05 / $549.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.36 / $283.42 / $990.50
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,966.90 / $1,966.90 / $1,966.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.58 / $398.89 / $1,012.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.97 / $419.22 / $860.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.51 / $326.18 / $549.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,775.00 / $3,227.00 / $6,169.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.58 / $368.66 / $498.60