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Massachusetts 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
$100.73 / $1,803.00 / $3,363.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.57 / $94.17 / $173.18
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$139.16 / $156.68 / $331.80
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.51 / $627.00 / $2,733.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.80 / $155.03 / $575.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.34 / $87.83 / $156.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.75 / $167.41 / $379.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.14 / $139.27 / $254.72
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.40 / $212.31 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.92 / $135.57 / $186.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.15 / $161.82 / $274.83
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,284.34 / $1,284.34 / $1,592.09
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.00 / $152.00 / $152.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $966.90 / $3,445.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.45 / $216.80 / $2,500.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $2,733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.98 / $173.42 / $301.02