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New Hampshire 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
$91.23 / $143.62 / $8,965.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,785.95 / $3,785.95 / $3,785.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.42 / $91.23 / $143.63
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$336.00 / $386.00 / $386.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.58 / $98.70 / $145.47
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$86.37 / $148.72 / $218.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.68 / $101.68 / $101.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.90 / $139.65 / $244.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.42 / $133.86 / $260.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.50 / $167.15 / $275.10
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.48 / $75.34 / $105.69