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West Virginia 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
$324.94 / $1,475.80 / $3,165.92
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,696.39 / $3,263.68 / $13,415.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.04 / $177.69 / $227.88
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$330.22 / $335.74 / $341.82
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.82 / $118.58 / $163.05
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.84 / $274.11 / $397.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.63 / $178.63 / $178.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.41 / $205.58 / $492.65
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$677.04 / $1,960.35 / $4,008.81
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,411.21 / $3,589.94 / $7,576.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.65 / $254.45 / $504.94