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Maine 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
$0.72 / $112.43 / $786.83
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$195.98 / $1,301.81 / $1,301.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.26 / $87.28 / $129.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.66 / $77.25 / $116.65
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$98.49 / $115.87 / $174.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.84 / $121.73 / $201.43
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.37 / $120.77 / $199.93
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.74 / $760.72 / $1,963.76
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$195.98 / $195.98 / $1,301.81
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.42 / $93.12 / $155.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.59 / $125.27 / $187.92