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Wyoming 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
$1,502.22 / $1,502.22 / $1,502.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.41 / $107.22 / $5,721.86
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$85.08 / $85.08 / $1,054.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.00 / $190.00 / $316.00
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$177.00 / $294.00 / $474.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.90 / $136.99 / $247.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.00 / $293.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.44 / $185.89 / $328.91