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Maine 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
$0.72 / $0.72 / $0.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.04 / $88.23 / $113.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.42 / $78.14 / $117.30
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$99.63 / $117.21 / $175.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.70 / $122.57 / $202.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.78 / $120.36 / $201.05
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.59 / $94.18 / $154.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.83 / $127.16 / $197.51