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North Dakota 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
$90.69 / $1,288.36 / $1,327.27
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,288.36 / $3,894.98 / $4,341.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.95 / $157.28 / $247.55
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$130.85 / $743.60 / $1,885.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.50 / $267.50 / $441.82
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$269.25 / $348.47 / $662.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.66 / $293.19 / $568.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.69 / $175.51 / $345.78
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,040.54 / $2,351.69 / $3,510.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.15 / $322.88 / $776.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.15 / $309.51 / $378.80