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Rhode Island 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
$1,518.41 / $1,543.03 / $3,955.04
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,757.14 / $2,757.14 / $4,112.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.35 / $172.64 / $285.64
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$266.66 / $266.66 / $287.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.85 / $203.69 / $384.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.59 / $239.64 / $390.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,388.00 / $2,445.00 / $4,602.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.84 / $295.98 / $495.19