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Massachusetts 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
$100.33 / $991.00 / $2,900.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$179.72 / $779.76 / $2,244.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.62 / $97.35 / $170.47
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$97.50 / $150.31 / $564.90
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.34 / $627.00 / $2,733.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.33 / $153.28 / $575.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.81 / $87.15 / $155.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.66 / $147.56 / $259.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.51 / $139.65 / $252.85
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.14 / $208.34 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.21 / $135.93 / $187.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.73 / $160.91 / $275.77
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$516.64 / $1,061.39 / $1,866.60
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.22 / $149.00 / $348.79
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $966.90 / $3,445.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.54 / $216.80 / $2,750.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $2,733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.68 / $171.23 / $289.25