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Michigan 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
$79.81 / $464.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.04 / $88.23 / $160.37
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$159.91 / $159.91 / $269.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.57 / $86.57 / $86.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.77 / $507.94 / $688.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.92 / $61.97 / $187.20
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$190.68 / $190.68 / $311.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.72 / $90.11 / $167.45
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.23 / $280.93 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.20 / $98.00 / $161.93
Health Alliance Plan
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$159.91 / $159.91 / $269.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.79 / $101.78 / $144.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,418.00 / $2,029.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.93 / $118.67 / $156.52