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Ohio 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
$170.62 / $1,607.00 / $3,939.60
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$579.16 / $2,951.60 / $8,119.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.24 / $167.95 / $323.12
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$153.22 / $313.83 / $895.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.03 / $118.83 / $175.64
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$178.25 / $178.25 / $178.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.00 / $1,981.00 / $3,943.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.65 / $122.96 / $202.62
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$140.47 / $184.44 / $303.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.03 / $118.84 / $148.55
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.67 / $228.33 / $355.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.86 / $197.80 / $331.89
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$554.79 / $1,023.48 / $2,364.61
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.76 / $200.27 / $333.72
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$236.07 / $243.38 / $393.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.93 / $211.46 / $301.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $1,940.00 / $4,067.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.32 / $252.18 / $387.74