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Nebraska 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
$90.83 / $3,795.64 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.87 / $90.83 / $411.00
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$132.35 / $165.00 / $457.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,507.81 / $1,983.18 / $3,836.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.99 / $112.81 / $185.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.16 / $186.03 / $280.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.25 / $119.67 / $218.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.55 / $198.82 / $575.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.28 / $184.51 / $276.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.00 / $183.54 / $276.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.55 / $202.44 / $255.33