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Alabama rates for HCPCS 64493

Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.26 / $560.00 / $1,728.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$795.93 / $2,323.14 / $4,405.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.59 / $137.41 / $263.01
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$118.83 / $173.34 / $304.70
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$231.69 / $231.69 / $231.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.59 / $1,382.00 / $1,859.23
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,712.40 / $2,072.98 / $2,788.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.59 / $215.94 / $284.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.89 / $183.45 / $340.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,234.00 / $2,488.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.44 / $163.41 / $373.74