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New York 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
$155.49 / $2,873.00 / $12,075.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,818.76 / $3,274.10 / $8,528.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.18 / $191.25 / $527.66
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$98.04 / $335.12 / $2,482.80
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.12 / $245.12 / $245.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $3,373.00 / $4,707.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.06 / $183.45 / $469.28
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$222.94 / $280.16 / $707.85
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.69 / $1,254.00 / $4,050.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.69 / $149.69 / $275.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.63 / $178.63 / $178.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.69 / $237.45 / $714.74
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.00 / $138.33 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.00 / $316.16 / $1,846.71
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.62 / $178.62 / $178.62
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.20 / $224.22 / $407.26
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.19 / $915.70 / $3,284.23
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$202.90 / $432.00 / $2,922.88
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.23 / $192.23 / $276.85
Highmark BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$415.28 / $415.28 / $417.57
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.63 / $555.00 / $36,596.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.88 / $254.28 / $674.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.00 / $3,496.00 / $6,201.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.44 / $265.08 / $636.02
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.59 / $122.59 / $351.18
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.59 / $244.93 / $407.26