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Oklahoma 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
$167.95 / $2,508.00 / $6,435.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$760.00 / $3,047.50 / $4,931.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.23 / $153.91 / $210.38
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$145.62 / $145.62 / $145.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,832.80 / $2,927.28 / $4,626.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.67 / $183.40 / $251.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$770.49 / $770.49 / $770.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.09 / $199.51 / $305.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.94 / $186.51 / $2,226.50
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,257.88 / $2,257.88 / $2,340.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.27 / $240.27 / $3,500.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,325.00 / $2,637.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.49 / $209.30 / $348.96