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California rates for HCPCS 64491

Njx Dx/Ther Agt Pvrt Facet Jt Crv/Thrc 2nd Level

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.15 / $2,988.00 / $15,234.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$107.15 / $1,916.63 / $4,122.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.43 / $93.28 / $403.25
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$86.31 / $139.91 / $508.59
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.61 / $110.61 / $110.61
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$127.22 / $127.22 / $127.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,546.00 / $4,418.00 / $9,274.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.93 / $82.52 / $173.79
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$93.37 / $111.30 / $148.80
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.09 / $100.00 / $4,970.60
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.92 / $81.31 / $161.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,277.00 / $2,277.00 / $2,277.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.11 / $105.94 / $197.09
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.19 / $88.01 / $147.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.12 / $103.93 / $182.85
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $269.47 / $289.37
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.00 / $2,750.00 / $2,750.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.28 / $100.35 / $155.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.59 / $112.00 / $233.76
Sutter Health Plus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$618.00 / $618.00 / $618.00
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.04 / $196.04 / $315.05
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.20 / $103.57 / $143.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.00 / $1,551.00 / $6,323.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.04 / $106.92 / $237.78
United
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$204.69 / $204.69 / $204.69