go back

Rhode Island 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
$1,518.41 / $1,543.03 / $3,955.04
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,783.12 / $1,783.12 / $2,667.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.94 / $90.21 / $140.66
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$150.19 / $150.19 / $161.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.15 / $381.52 / $616.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.16 / $103.22 / $201.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.38 / $123.55 / $195.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $1,401.00 / $4,915.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.14 / $145.80 / $210.61
United
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$204.69 / $204.69 / $204.69