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Michigan 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
$78.56 / $454.96 / $2,056.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$537.54 / $1,105.00 / $2,467.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.08 / $93.12 / $171.01
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$86.85 / $254.64 / $560.02
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.01 / $87.01 / $87.01
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$90.74 / $130.51 / $145.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$431.14 / $506.03 / $685.59
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$233.91 / $342.79 / $447.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.76 / $88.64 / $197.18
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$189.60 / $189.60 / $312.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.30 / $70.98 / $85.19
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.47 / $118.01 / $183.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $89.09 / $167.90
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.56 / $540.10 / $2,056.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$544.79 / $1,717.88 / $2,386.69
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.29 / $97.94 / $168.27
Health Alliance Plan
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$89.90 / $266.13 / $560.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.79 / $101.78 / $144.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,418.00 / $2,029.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.23 / $117.79 / $156.09