go back

Mississippi 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
$216.18 / $870.90 / $2,640.85
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,425.00 / $1,557.55 / $2,323.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.43 / $159.12 / $410.13
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$125.46 / $429.00 / $510.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.87 / $178.39 / $634.07
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$143.12 / $166.02 / $951.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.09 / $560.09 / $616.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.00 / $254.00 / $254.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.66 / $494.44 / $1,168.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.30 / $203.63 / $339.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.00 / $870.00 / $3,779.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.04 / $232.98 / $537.11