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Maryland 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
$0.98 / $2.00 / $323.69
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$0.98 / $0.98 / $0.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.61 / $96.00 / $315.93
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$82.64 / $139.91 / $452.01
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.05 / $64.05 / $81.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.00 / $330.00 / $641.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.94 / $102.47 / $195.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.76 / $130.24 / $191.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.00 / $36.00 / $41.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.73 / $118.94 / $209.32
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.09 / $116.10 / $143.94