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Illinois rates for HCPCS 64492

Njx Dx/Ther Agt Pvrt Facet Jt Crv/Thrc 3+ Level

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.05 / $973.00 / $4,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.55 / $88.23 / $169.75
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$87.89 / $137.90 / $235.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.05 / $746.64 / $1,495.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.45 / $110.78 / $174.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.33 / $109.01 / $177.80
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.00 / $150.58 / $680.55
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.97 / $75.31 / $129.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $146.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $891.00 / $3,685.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.17 / $138.24 / $209.73