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Wyoming 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
$537.75 / $537.75 / $2,277.10
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$537.75 / $537.75 / $1,853.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.70 / $1,020.00 / $6,070.82
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$377.87 / $5,721.86 / $6,070.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$974.00 / $974.00 / $974.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.00 / $339.00 / $626.00
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$316.50 / $583.50 / $939.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.88 / $253.19 / $442.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$788.00 / $788.00 / $3,328.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.52 / $377.53 / $655.20